DR. BORA RHIM (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1942328679

DR. BORA RHIM (DPM) is a healthcare provider. based in Rancho cucamonga, California. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. SC005781 (PA). The NPI Number for DR. BORA RHIM (DPM) is 1942328679

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. BORA RHIM (DPM)
NPI
1942328679
Phone
(909) 204-9700
Address
7777 MILLIKEN AVE #B
Enumeration Date
27 March 2007
Last Update Date
7 December 2021

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
9513532000
Graduation Year
2004 (22 years ago)
PAC ID
4981786019
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20080129000443
Address ID
CA925053043RI10800AVEX300

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,833 PODIATRY in CA

Provider Addresses for DR. BORA RHIM (DPM)

  • 7777 MILLIKEN AVE #B

    STE 330

    RANCHO CUCAMONGA, CA 91730

    Phone: (909) 204-9700

    Fax: (310) 828-2001

    Type: Location

  • 2121 WILSHIRE BLVD STE 101

    SANTA MONICA, CA 904035742

    Phone: (310) 828-0011

    Fax: (310) 828-2001

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $184.

Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.

Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Integra LifeSciences Corporation ($170).

Total Amount

$184

General + Research + Ownership

Payments

2

Total payment records

General Amount

$184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-30

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: 2008-01-29

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
I20080129000443IPodiatryCATBD

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 91730)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

How is DR. BORA RHIM (DPM) identified in CMS data?
CMS-hosted NPPES data lists DR. BORA RHIM (DPM) with NPI 1942328679.
Does the file indicate DR. BORA RHIM (DPM) is practicing under active NPI?
Directory data currently reports DR. BORA RHIM (DPM) as active.
What healthcare role does DR. BORA RHIM (DPM) hold?
Scheduling teams often label DR. BORA RHIM (DPM) under Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BORA RHIM (DPM) on a map?
Expect Rancho Cucamonga, California as a primary anchor for DR. BORA RHIM (DPM) unless the record lists multiple sites.
Why does DR. BORA RHIM (DPM) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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