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: August 09, 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
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

Medicare Participation & PECOS CMS

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

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.

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.

Dentist (General Practice)
5225 CANYON CREST DR, 209
RIVERSIDE, CA 92507
Social Worker (Clinical)
5225 CANYON CREST DR
RIVERSIDE, CA 92507
Dentist
5225 CANYON CREST DR, SUITE 209
RIVERSIDE, CA 92507
Pharmacy Technician
5225 CANYON CREST DR
RIVERSIDE, CA 92507
Marriage & Family Therapist
5225 CANYON CREST DR, BUILDING 100, SUITE 103
RIVERSIDE, CA 92507
Psychiatry & Neurology (Psychiatry)
5225 CANYON CREST DR, BUILDING 100 SUITE 103
RIVERSIDE, CA 92507
Marriage & Family Therapist
5225 CANYON CREST DR, STE 152
RIVERSIDE, CA 92507
Social Worker (Clinical)
5225 CANYON CREST DR, BLDG. 100, SUITE 103
RIVERSIDE, CA 92507

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.

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.