Active NPI
Sang Kun Yim, MD
- Internal Medicine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A145033
- Practice address
- 7117 Brockton Ave
Riverside, CA 92506-2658 - Phone
- (951) 683-6370
- NPI assigned
- May 14, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A145033 | CA | Primary |
Addresses
Primary practice location
7117 Brockton Ave
Riverside, CA 92506-2658
Mailing address
7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 683-6370
Other practice location 1
27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Loma Linda University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
27700 Medical Ctr Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-1400
Hospital & facility affiliations
- Providence Mission Hospital
- Riverside Community Hospital
- Parkview Community Hospital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A145033 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Sunrise Medical Associates Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Internal Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Lam Health | Past | Accepting new patients | |
| Lam Integrative Medicine, P.C. | Past | Accepting new patients | |
| Lam MD | Past | Accepting new patients | |
| Hospitalist Group of Montebello Inc | Past | Accepting new patients |
Locations
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
Interoperability endpoints
- syim670053@direct.memorialcare.org
- https://fhir-usa.unify.chbase.com/org/parkcom-a47d6029
- https://fhir4.healow.com/fhir/r4/AEBJBD/Endpoint/AEBJBD
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
-
- Hospitalist Physician
- Corona, CA
- NPI 1568858306
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1609925957
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
-
- Hospitalist Physician
- Corona, CA
- NPI 1578959318
-
- Clinic/Center
- Tustin, CA
- NPI 1992533970
-
- Clinic/Center
- Tustin, CA
- NPI 1114804101
-
- Clinic/Center
- Tustin, CA
- NPI 1184277063
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1003294661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062658",
"telephone_number": "951-683-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062658",
"telephone_number": "951-683-6370"
}
],
"practiceLocations": [
{
"address_1": "27700 Medical Center Rd",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926916426",
"country_code": "US",
"telephone_number": "949-364-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YIM",
"first_name": "SANG",
"middle_name": "KUN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-14",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A145033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.