JOY KIM
NPI 1871112383
Obstetrics & Gynecology in Loma Linda, CA

Active since April 14, 2020PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92350(909) 651-5510 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 7, 2024, Apr 14, 2020 (2 updates tracked since 2020).

About Joy Kim NPPES

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

JOY KIM (NPI 1871112383) is an individual obstetrics & gynecology provider in Loma Linda, California, licensed in California (A183214) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871112383
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJOY KIM
Location Address11234 ANDERSON STLoma Linda, CA 92350-1716
Mailing Address11234 Anderson St, Gme Office Westerly Suite CLoma Linda, CA 92350-1716
Sole ProprietorNo
Enumeration DateApril 14, 2020
Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1871112383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A183214
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
11234 ANDERSON ST, Loma Linda, CA 92350

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joy Kim 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.

Medicare Billing Reassignment

Medicare enrollment records show Joy Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
11234 ANDERSON ST
LOMA LINDA, CA 92350
Orthopaedic Surgery
11234 ANDERSON ST
LOMA LINDA, CA 92350
Clinical Nurse Specialist (Neonatal)
11234 ANDERSON ST
LOMA LINDA, CA 92350
Physician Assistant
11234 ANDERSON ST
LOMA LINDA, CA 92350
Ophthalmology (Retina Specialist)
11234 ANDERSON ST
LOMA LINDA, CA 92350
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350

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 Joy Kim's NPI number?

The NPI number for Joy Kim is 1871112383. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Joy Kim located?

Joy Kim practices at 11234 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 651-5510.

What is Joy Kim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joy Kim enrolled in Medicare?

Yes. Joy Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joy Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joy Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The 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 Joy Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joy Kim was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.