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JONATHAN KILTAI KIM M.D.
NPI 1962643379
Psychiatry & Neurology - Psychiatry in Riverside, CA

Active since March 13, 2009PECOS EnrolledAccepts Medicare Assignment
5225 CANYON CREST DR, BLDG. 100, SUITE 103, RIVERSIDE, CA 92507(951) 248-4000 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2021, Feb 12, 2016 (2 updates tracked since 2016).

About Jonathan Kiltai Kim M.d. NPPES

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

JONATHAN KILTAI KIM M.D. (NPI 1962643379) is an individual psychiatry provider in Riverside, California, licensed in California (C138566) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2007).

NPPES Registry Identity

NPI1962643379
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJONATHAN KILTAI KIMCredential: M.D.
Location Address5225 CANYON CREST DR, BLDG. 100, SUITE 103Riverside, CA 92507-6301
Mailing Address5225 Canyon Crest Dr, Bldg. 100, Suite 103Riverside, CA 92507-6301
Phone(951) 248-4000
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2007
Enumeration DateMarch 13, 2009
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
✔ NPI 1962643379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · C138566
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5225 CANYON CREST DR, Riverside, CA 92507
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Kiltai Kim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799081295
PECOS Enrollment IDI20160309001980
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 Jonathan Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
8.7 mi
Health Maintenance Organization
10800 MAGNOLIA AVE
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1952333460 (California)
  • 5,228 clinicians in this Medicare group
NPI 1316979834 (866) 984-7483

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 92507 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
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
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.

ALEXANDRIA CHRISTINE BRENT DDS
Dentist (General Practice)
5225 CANYON CREST DR, 209
RIVERSIDE, CA 92507
Riverside County (951) 686-7777
MR. MARK RAYMOND SEIBERLING LCSW
Social Worker (Clinical)
5225 CANYON CREST DR
RIVERSIDE, CA 92507
Riverside County (951) 248-4000
DR. ALEXANDRA KANTOR
Dentist
5225 CANYON CREST DR, SUITE 209
RIVERSIDE, CA 92507
Riverside County (951) 686-7777
PATRICIA ESPARZA CPHT
Pharmacy Technician
5225 CANYON CREST DR
RIVERSIDE, CA 92507
Riverside County (951) 686-2203
IRENE MONTES MFT
Marriage & Family Therapist
5225 CANYON CREST DR, BUILDING 100, SUITE 103
RIVERSIDE, CA 92507
Riverside County (951) 248-4000
SUNPREET SINGH D.O.
Psychiatry & Neurology (Psychiatry)
5225 CANYON CREST DR, BUILDING 100 SUITE 103
RIVERSIDE, CA 92507
Riverside County (951) 248-4000
MS. MARSIE CAMPBELL MFT
Marriage & Family Therapist
5225 CANYON CREST DR, STE 152
RIVERSIDE, CA 92507
Riverside County (951) 695-6343
MS. CASSANDRA ZEILER LCSW
Social Worker (Clinical)
5225 CANYON CREST DR, BLDG. 100, SUITE 103
RIVERSIDE, CA 92507
Riverside County (951) 248-4016

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 Jonathan Kim's NPI number?

The NPI number for Jonathan Kim is 1962643379. It was assigned to this individual provider in the NPPES registry on March 13, 2009.

Where is Jonathan Kim located?

Jonathan Kim practices at 5225 Canyon Crest Dr Bldg. 100, Suite 103, Riverside, CA 92507. The listed phone number is (951) 248-4000.

What is Jonathan Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jonathan Kim enrolled in Medicare?

Yes. Jonathan Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jonathan Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, 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 Jonathan 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 Jonathan Kim was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.