Individual provider Active NPI

Dennis Yoochun Kim, M.D.

  • Specialist
  • Murrieta, CA
National Provider Identifier
1487766382
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A66132 Issued in CA
Practice address
39755 Murrieta Hot Springs Rd
Suite E-130
Murrieta, CA 92563-9101
Phone
(951) 894-4665
Fax
(951) 894-4667
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A66132 CA Primary

Addresses

Primary practice location

39755 Murrieta Hot Springs Rd
Suite E-130
Murrieta, CA 92563-9101

Mailing address

P.O. Box 89278
Temecula, CA 92589-2788
Phone (951) 894-4665

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
I20041201000868 CA Practitioner - Internal Medicine 8224094214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare Crossing CorporationGroup PAC ID 5294721197, 16 clinicians

Practice addresses (Care Compare)

1285 S State St
Hemet, CA 92543-7976
Phone (951) 894-4665

28078 Baxter Rd
Suite 314
Murrieta, CA 92563-1404
Phone (951) 894-4665

39765 Date St
Murrieta, CA 92563-2005
Phone (951) 894-4665

Hospital & facility affiliations

  • Destiny Home Health Agency, Inc Home health agency, Moreno Valley, CA, CCN 058263
  • Mission Home Health of San Diego LLC Home health agency, San Diego, CA, CCN 557711
  • Angelicare Home Health Inc Home health agency, Chino, CA, CCN 059316
  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66132CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Crossing Corporation Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Loma Linda University Medical Center-Murrieta PastSince Jan 1, 2013 Accepting new patients

Locations

39755 Murrieta Hot Springs Rd
Ste E130
Murrieta, CA 92563
Phone (951) 894-1131

39765 Date St
Ste 102
Murrieta, CA 92563

39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100

28078 Baxter Rd
Ste 314
Murrieta, CA 92563
Phone (951) 677-3000

Interoperability endpoints

  • Direct secure messaging: dennis.kim.1@10674.direct.athenahealth.com
  • Direct secure messaging: dkim119774@direct.llu.edu

Organizations & group practices 2

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 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487766382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 89278",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925892788",
            "telephone_number": "951-894-4665",
            "fax_number": "951-894-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS RD",
            "address_2": "SUITE E-130",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925639101",
            "telephone_number": "951-894-4665",
            "fax_number": "951-894-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DENNIS",
        "middle_name": "YOOCHUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A66132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.