NPIMap

Individual provider Active NPI

Kiin Kim, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Santa Ana, CA
National Provider Identifier
1558711051
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A155353 Issued in CA
Practice address
999 N Tustin Ave
Santa Ana, CA 92705-3528
Phone
(714) 987-1121
NPI assigned
Jun 15, 2016
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A155353 CA Primary

Addresses

Primary practice location

999 N Tustin Ave
Santa Ana, CA 92705-3528

Mailing address

15090 Kensington Park Dr Unit 22
Ste 430
Tustin, CA 92782-1817
Phone (714) 987-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200625000799 CA Practitioner - Physical Medicine and Rehabilitation 8820375116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
George Washington University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orca Rehab IncGroup PAC ID 6901281484, 16 clinicians

Practice addresses (Care Compare)

1010 W la Veta Ave
Orange, CA 92868-4300
Phone (714) 869-7487

13522 Newport Ave
Suite 102
Tustin, CA 92780-3707
Phone (714) 987-1121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
11.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
39.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155353CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Health and Rehab PC Physical Medicine & Rehabilitation CurrentSince Sep 13, 2021 Accepting new patients
Orca Rehab Inc Physical Medicine & Rehabilitation CurrentSince Aug 1, 2022 Accepting new patients
Amirpasha Ehsan MD, Inc Physical Medicine & Rehabilitation Past Accepting new patients

Locations

3900 Garfield Ave
Carmichael, CA 95608
Phone (916) 481-6455

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 734-1101

1010 W La Veta Ave
Orange, CA 92868
Phone (714) 221-1200

1010 W La Veta Ave
Ste 360
Orange, CA 92868
Phone (510) 465-8986

3688 Nye Ave
Riverside, CA 92505
Phone (951) 351-2800

4070 Jurupa Ave
Riverside, CA 92506
Phone (301) 308-8995

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1558711051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15090 KENSINGTON PARK DR UNIT 22",
            "address_2": "STE 430",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821817",
            "telephone_number": "714-987-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-987-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KIIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A155353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.