Individual provider Active NPI

Hui-Kyung Tina Kim, MD

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1720076631
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A85684 Issued in CA
Practice address
20162 SW Birch St Ste 250
Newport Beach, CA 92660-0797
Phone
(949) 251-0427
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A85684 CA Primary

Addresses

Primary practice location

20162 SW Birch St Ste 250
Newport Beach, CA 92660-0797

Mailing address

20162 SW Birch St Ste 250
Newport Beach, CA 92660-0797
Phone (949) 251-0427

Other practice location 1

1506 E Chapman Ave
Orange, CA 92866-2231
Phone (714) 538-8556

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
I20040903000647 CA Practitioner - Dermatology 8123094851 Reassigns benefits to 1 organization
Practice locations: Orange, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Dermatology Associates of Orange CountyGroup PAC ID 2769617018, 3 clinicians

Practice addresses (Care Compare)

1506 E Chapman Ave
Orange, CA 92866-2231
Phone (714) 538-8556

20162 SW Birch St
Suite 250
Newport Beach, CA 92660-0797

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions3067
Removal or shaving of skin growth110
Skin biopsy271

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85684CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Dermatology Associates of Orange County Dermatology CurrentSince Sep 1, 2014 Accepting new patients
J Robert West, M.D., Inc Dermatology PastSince Jun 1, 2017 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

20162 SW Birch St
Ste 250
Newport Beach, CA 92660
Phone (949) 221-1700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1720076631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST STE 250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600797",
            "telephone_number": "949-251-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST STE 250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600797",
            "telephone_number": "949-251-0427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 E Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928662231",
            "country_code": "US",
            "telephone_number": "714-538-8556",
            "fax_number": "714-538-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HUI-KYUNG",
        "middle_name": "TINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A85684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.