Michell Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34920TLG Issued in CA

Practice address

2935 Chino Ave Ste E3
Chino Hills, CA 91709-3575

Phone

(909) 627-1111

Fax

(909) 627-1112

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Eye Associates a Professional Corporation

  • Ophthalmology Physician
  • Palm Desert, CA
  • NPI 1235654344
  Medicare reassignment
• Bright Vision Optometry

  • Optometrist
  • Chino Hills, CA
  • NPI 1972971901
  NPD
• Cerritos 2020 Optometry a Proffesional Optometric Corporatio

  • Optometrist
  • Cerritos, CA
  • NPI 1851410773
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1285207985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 LA BONITA WAY",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039039",
            "telephone_number": "714-675-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 CHINO AVE STE E3",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093575",
            "telephone_number": "909-627-1111",
            "fax_number": "909-627-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79710 Highway 111 Ste 101",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922536516",
            "country_code": "US",
            "telephone_number": "760-342-6900",
            "fax_number": "760-841-5403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11420 South St",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907036611",
            "country_code": "US",
            "telephone_number": "562-860-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "MICHELL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34920TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Kim
• Jin Young Kim, DDS, MS
• Karis Kim
• Lauren J Kim, PHARM. D.
• Maria Kim, D.D.S.
• Minkyong Kim
• Paul Chang Kim, PT, DPT
• Sang You Kim, M.D.
• Steven S Kim, DDS
• Sunah Eunice Kim, DNP, FNP-C

• Optometrist in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.

Verify at the official NPI Registry.