Dae Yong Kim, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

169506 Issued in CA

Practice address

6530 La Contenta Rd Ste 100
Yucca Valley, CA 92284-7313

Phone

(760) 820-9229

NPI assigned

Jun 28, 2017

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hi-Desert Memorial Health Care DistrictGroup PAC ID 1254240898, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hi Desert Home Health Services Home health agency, Joshua Tree, CA, CCN 057763
• Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279

Merit-based Incentive Payment System (MIPS)

Final score

98.25 of 100Reported as group

Quality

100

Promoting interoperability

73

Improvement activities

40

Cost

100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dae.kim.p1@direct.cdsdp.nextgenshare.com

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.

• Hi -Desert Memorial Health Care District

  dba Morongo Basin Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Yucca Valley, CA
  • NPI 1841612082
  Medicare reassignment Care Compare group NPD
• Clinicas de Salud del Pueblo, Inc

  dba Innercare

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
  • NPI 1346313889
  Medicare reassignment NPD
• Clinicas de Salud del Pueblo Inc.

  dba InnerCare Pharmacy

  • Community/Retail Pharmacy
  • El Centro, CA
  • NPI 1962045872
  NPD
• Clinicas de Salud del Pueblo, Inc

  dba Indio Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Indio, CA
  • NPI 1093138430
  NPD

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

• HDMC Holdings, LLC

  dba Hi-Desert Medical Center

  • General Acute Care Hospital
  • Joshua Tree, CA
  • NPI 1851787295
  Care Compare affiliation
• HDMC Holdings, LLC

  • Home Health Agency
  • Joshua Tree, CA
  • NPI 1962898601
  Care Compare affiliation

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1679094981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 LA CONTENTA RD STE 100",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847313",
            "telephone_number": "760-820-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 LA CONTENTA RD STE 100",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847313",
            "telephone_number": "760-820-9229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 Broadway",
            "address_2": "Woodhull Hospital, Dept of Medicine",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11206",
            "country_code": "US",
            "telephone_number": "718-963-5807",
            "fax_number": "718-963-8753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50249 Cesar Chavez St Ste K",
            "address_purpose": "LOCATION",
            "city": "Coachella",
            "state": "CA",
            "postal_code": "922361530",
            "country_code": "US",
            "telephone_number": "760-393-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAE YONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "169506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasdeep Kaur
• Quincy M Kennedy
• Susanne Michelle Kennedy
• Samantha Kerkenides, RN
• Tamara Kilduff
• Elizabeth Ann Kirkland, B.S.
• Carrie Kish
• Kathleen A Kisner
• Alicia D Klein
• Joe Kliegl

• Internal Medicine Physician in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.