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JIN MAN KIM FAMILY MD INC
NPI 1851412894
Family Medicine in Rancho Cucamonga, CA

Active since April 03, 2007
8237 ROCHESTER AVE, #130, RANCHO CUCAMONGA, CA 91730(909) 948-7590(909) 948-7290 Get Directions Write a Review

NPPES record last updated: July 13, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jin Man Kim Family Md Inc NPPES

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

JIN MAN KIM FAMILY MD INC (NPI 1851412894) is a healthcare organization registered as a family medicine in Rancho Cucamonga, California and active in the NPI registry since April 2007. The organization lists Jin Man Kim, Family Practice, as its authorized official.

NPPES Registry Identity

NPI1851412894
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJIN MAN KIM FAMILY MD INC
Location Address8237 ROCHESTER AVE, #130Rancho Cucamonga, CA 91730-6780
Mailing Address8237 Rochester Ave, #130Rancho Cucamonga, CA 91730-0716 · (909) 948-7590 · Fax (909) 948-7290
Phone(909) 948-7590
Fax(909) 948-7290
Organization SubpartNo
Authorized OfficialJin Man KimFamily Practice · (909) 948-7590
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 13, 2015
✔ NPI 1851412894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A61463
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8237 ROCHESTER AVE, Rancho Cucamonga, CA 91730
Open in Google Maps ↗

Other Identifiers 2

OtherA61463CA · State Lic #
Medicare UPINH23525CA

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)

Jin Man Kim Family Md Inc 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 Jin Man Kim Family MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jin Kim, M.D.
Family Practice
NPI 1558371401
8237 ROCHESTER AVE # 130
Rancho Cucamonga, CA 91730
(909) 948-7590
✔ PECOS✔ Accepts MedicareSame address

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 Jin Man Kim Family MD Inc's NPI number?

The NPI number for Jin Man Kim Family MD Inc is 1851412894. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Jin Man Kim Family MD Inc located?

Jin Man Kim Family MD Inc is located at 8237 Rochester Ave #130, Rancho Cucamonga, CA 91730. The listed phone number is (909) 948-7590.

What is Jin Man Kim Family MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jin Man Kim Family MD Inc enrolled in Medicare?

Yes. Jin Man Kim Family MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jin Man Kim Family MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jin Man Kim Family MD Inc. 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 Jin Man Kim Family MD Inc was last updated on July 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.