SUN KIM MEDICAL CORPORATION
NPI 1730670407
Urology in Buena Park, CA

Active since May 29, 2018
5832 BEACH BLVD STE 206, BUENA PARK, CA 90621(909) 229-2873 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sun Kim Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUN KIM MEDICAL CORPORATION (NPI 1730670407) is a healthcare organization registered as an urology in Buena Park, California and active in the NPI registry since May 2018. The organization lists Sun I Kim, President, as its authorized official.

NPPES Registry Identity

NPI1730670407
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSUN KIM MEDICAL CORPORATION
Location Address5832 BEACH BLVD STE 206Buena Park, CA 90621-2022
Mailing Address12 Coastal Canyon DrNewport Beach, CA 92657-1603 · (909) 229-2873
Organization SubpartNo
Authorized OfficialSun I KimPresident · (909) 229-2873
Enumeration DateMay 29, 2018
✔ NPI 1730670407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A69380
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
5832 BEACH BLVD STE 206, Buena Park, CA 90621

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sun Kim Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sun Kim Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1093738932
489 E 21ST ST
San Bernardino, CA 92404
(909) 882-2973
✔ PECOS✔ Accepts Medicare45 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sun Kim Medical Corporation's NPI number?

The NPI number for Sun Kim Medical Corporation is 1730670407. It was assigned to this organization in the NPPES registry on May 29, 2018.

Where is Sun Kim Medical Corporation located?

Sun Kim Medical Corporation is located at 5832 Beach Blvd Ste 206, Buena Park, CA 90621. The listed phone number is (909) 229-2873.

What is Sun Kim Medical Corporation's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Sun Kim Medical Corporation enrolled in Medicare?

Yes. Sun Kim Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sun Kim Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Sun Kim Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sun Kim Medical Corporation was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.