YONG-SIK KIM (MD) – Internal Medicine Physician, NPI 1033317565

YONG-SIK KIM (MD) is a healthcare provider. based in Yorba linda, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A112454 (CA). The NPI Number for YONG-SIK KIM (MD) is 1033317565

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
YONG-SIK KIM (MD)
NPI
1033317565
Phone
(714) 985-6400
Address
16671 Yorba Linda Blvd Ste 100
Enumeration Date
5 July 2007
Last Update Date
21 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9494658155
Graduation Year
2003 (23 years ago)
PAC ID
2264615376
Group Practice PAC ID
5092606905
Professional Enrollment ID
I20130826000557
Address ID
CA926533642LA24221LOUI501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:18State licenses:3Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for YONG-SIK KIM (MD)

  • 16671 Yorba Linda Blvd Ste 100

    Suite F

    Yorba Linda, CA 928862025

    Phone: (714) 985-6400

    Fax: (714) 985-6425

    Type: Location

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Type: Mailing

  • Yorba Linda Boulevard, Esperanza, Yorba Linda, Orange County, California, 92887, United States

    YORBA LINDA, CA 928862025

    Phone: (714) 985-6400

    Type: Mailing

  • 24221 CALLE DE LA LOUISA STE 200

    LAGUNA HILLS, CA 926533642

    Phone: (949) 334-8270

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130826000557IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92886)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092606905View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineCA
Endocrinology, Internal MedicineCA
-CA
Nephrology, Internal MedicineNV
Internal MedicineNV
Internal MedicineNV
Family PracticeCA
Nephrology, Internal MedicineNV
Internal MedicineNV
Internal MedicineNV

Reviews

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Frequently asked questions

Is YONG-SIK KIM (MD) listed with a National Provider Identifier?
Yes — YONG-SIK KIM (MD) has NPI 1033317565 on file in the registry.
Would YONG-SIK KIM (MD) appear as active to a payer?
You can treat YONG-SIK KIM (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe YONG-SIK KIM (MD)'s focus?
For YONG-SIK KIM (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in California is YONG-SIK KIM (MD) registered?
Use Yorba Linda, California as the headline location for YONG-SIK KIM (MD) here.
When was this NPI issued?
Enumeration for YONG-SIK KIM (MD) is noted as July 5, 2007 where the registry provides it.