YOHANAN KIM – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1265965339

YOHANAN KIM is a healthcare provider. based in Riverside, California. specializing in OTOLARYNGOLOGY. They hold a License No. A157124 (CA). The NPI Number for YOHANAN KIM is 1265965339

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
YOHANAN KIM
NPI
1265965339
Phone
(951) 697-5570
Address
6405 DAY ST
Enumeration Date
6 April 2017
Last Update Date
14 April 2025

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9516975556
Graduation Year
2017 (9 years ago)
PAC ID
5799163614
Group Practice PAC ID
2961492327
Professional Enrollment ID
I20220606002200
Address ID
CA925070901RI6405XSTXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

1,359 OTOLARYNGOLOGY in CA

Provider Addresses for YOHANAN KIM

  • 6405 DAY ST

    RIVERSIDE, CA 925070901

    Phone: (951) 697-5570

    Fax: (951) 697-5596

    Type: Location

  • 11234 Anderson St

    Loma Linda University Health, Otolaryngology

    Loma Linda, CA 923501716

    Phone: (909) 558-8558

    Type: Location

  • Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States

    GME OFFICE WESTERLY SUITE C

    LOMA LINDA, CA 923542804

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $221.

Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: GENZYME CORPORATION ($198).

Total Amount

$221

General + Research + Ownership

Payments

14

Total payment records

General Amount

$221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-06

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
I20220606002200IOtolaryngologyCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes2020$0
92504Exam of ear using a microscope1412$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
31575Diagnostic exam of voice box using a flexible endoscope1111$0
69210Removal of impacted ear wax1111$0
View full utilization report →

Insurance plans in this area (ZIP 92507)

Loading plans...

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: 2961492327View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
-CA
-CA
Internal MedicineCA
Dermatology, Micrographic Dermatologic Surgery (Mds)CA
Internal MedicineCA
Family PracticeCA
Family PracticeCA
Internal MedicineCA
Family PracticeCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference YOHANAN KIM?
For YOHANAN KIM, use NPI 1265965339 as the unique 10-digit identifier.
Active or inactive — what applies to YOHANAN KIM?
You should see YOHANAN KIM as active in CMS-hosted NPPES data.
What expertise is attributed to YOHANAN KIM?
YOHANAN KIM's specialty line reads Plastic Surgery within the Head & Neck (Otolaryngology) Physician. Clinical services aligned with this taxonomy classification.
Is YOHANAN KIM located near Riverside?
YOHANAN KIM currently maps to Riverside, California in this extract.
When was this NPI issued?
Enumeration for YOHANAN KIM is noted as April 6, 2017 where the registry provides it.

Similar Providers

GARY MITCHELL FEINBERG (M.D.)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Raincross Medical Group, 4646, Brockton Avenue, Riverside, Riverside County, California, 92501, United States
NPI: 1730187881

RICHARD G. RAJARATNAM (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Kaiser Permanente Riverside Medical Center, 10800, Magnolia Avenue, Riverside, Riverside County, California, 92505, United States
NPI: 1679640403

GEORGE Y. LIU (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Kaiser Permanente Riverside Medical Center, 10800, Magnolia Avenue, Riverside, Riverside County, California, 92505, United States
NPI: 1922175843

VISHWAS D. TADWALKAR (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Kaiser Permanente Riverside Medical Center, 10800, Magnolia Avenue, Riverside, Riverside County, California, 92505, United States
NPI: 1437226248

DONALD PEREZ (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Kaiser Permanente Riverside Medical Center, 10800, Magnolia Avenue, Riverside, Riverside County, California, 92505, United States
NPI: 1750458584

EDWARD E. BLOOM (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Kaiser Permanente Riverside Medical Center, 10800, Magnolia Avenue, Riverside, Riverside County, California, 92505, United States
NPI: 1134288897

YURO J BERKOVIC (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
3660 ARLINGTON AVE
NPI: 1619102191

GABRIEL GABARAIN (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
4646 BROCKTON AVE STE 201
NPI: 1184971194