DONALD D KIM MD
NPI 1801891734
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Riverside, CA

Q: What is Donald Kim's NPI number?

The NPI number for Donald Kim is 1801891734. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Donald Kim's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for Donald Kim was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 16, 2005PECOS Enrolled

4354 LATHAM ST STE 100, RIVERSIDE, CA 92501(951) 683-0650(951) 774-4612 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2020, Jul 30, 2019 (2 updates tracked since 2019).

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About Donald D Kim Md NPPES

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

DONALD D KIM MD (NPI 1801891734) is an individual pediatric orthopaedic surgery provider in Riverside, California, licensed in California (G58622) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801891734

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameDONALD D KIMCredential: MD

Location Address4354 LATHAM ST STE 100Riverside, CA 92501-1777

Mailing Address4354 Latham St Ste 100Riverside, CA 92501-1777 · (951) 683-0650 · Fax (951) 774-4612

Phone(951) 683-0650

Fax(951) 774-4612

Sole ProprietorNo

Enumeration DateJune 16, 2005

Last NPPES UpdateFebruary 10, 20202 updates tracked since enumeration

✔ NPI 1801891734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

License✔ Licensed in CA · G58622

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License G58622 (CA)

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License G58622 (CA)

4354 LATHAM ST STE 100, Riverside, CA 92501

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald D Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEIL J. HALBRIDGE MD

Orthopaedic Surgery