Individual provider Active NPI

Stevens Young-Jun Kim, MD

  • Ophthalmology Physician
  • Stockton, CA
National Provider Identifier
1437258183
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G76813 Issued in CA
Practice address
36 West Yokuts Ave
Suite 1
Stockton, CA 95207-5713
Phone
(209) 952-3700
Fax
(209) 478-3302
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G76813 CA Primary

Addresses

Primary practice location

36 West Yokuts Ave
Suite 1
Stockton, CA 95207-5713

Mailing address

36 West Yokuts Ave
Suite 1
Stockton, CA 95207-5713
Phone (209) 952-3700

Other identifiers 1

IdentifierTypeStateIssuer
00G768130MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000210 CA Practitioner - Ophthalmology 6103846357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Stanford University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Eye Medical Group IncGroup PAC ID 8729178843, 10 clinicians

Practice addresses (Care Compare)

200 Cottage Ave
Suite 102
Manteca, CA 95336-4935
Phone (209) 239-5303

Hospital & facility affiliations

  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G76813CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Kim MD and Stephen Lin MD Medical Group Inc Current Accepting new patients
Central Valley Eye Medical Group Inc. Ophthalmology CurrentSince Oct 15, 2002 Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
St. Joseph'S Hospital, Yonkers Past Accepting new patients
California'S Advanced Institute of Vision Medical Group, Inc Ophthalmology Past Accepting new patients
Dameron Hospital Association Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients

Locations

200 Cottage Ave
Ste 102
Manteca, CA 95336
Phone (209) 239-5303

200 Cottage Ave
Ste 200
Manteca, CA 95336
Phone (209) 832-3332

1421 Oakdale Rd
Fl 2
Modesto, CA 95355
Phone (209) 579-8800

1334 Nelson Ave
Modesto, CA 95350
Phone (209) 524-9904

36 W Yokuts Ave
Stockton, CA 95207
Phone (209) 952-3700

36 W Yokuts Ave
Ste 2
Stockton, CA 95207
Phone (209) 474-2121

36 W Yokuts Ave
Ste 1
Stockton, CA 95207
Phone (209) 952-3700

36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189

1199 Delbon Ave
Ste 4
Turlock, CA 95382
Phone (209) 667-6211

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: skim15572@hpmg.direct-ci.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1437258183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WEST YOKUTS AVE",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075713",
            "telephone_number": "209-952-3700",
            "fax_number": "209-478-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WEST YOKUTS AVE",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075713",
            "telephone_number": "209-952-3700",
            "fax_number": "209-478-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEVENS",
        "middle_name": "YOUNG-JUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-02-12",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G76813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G768130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.