Kim Dinh, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

56041 Issued in CA

Practice address

2333 Foothill Blvd Ste B
La Verne, CA 91750-3027

Phone

(909) 392-6501

Fax

(909) 469-2136

NPI assigned

Oct 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Premier Family Medicine Associates, IncGroup PAC ID 4284547522, 65 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.43 of 100Reported as group

Quality

13.12

Promoting interoperability

100

Improvement activities

0

Cost

74.03

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Premier Family Medicine Associates, Inc

  • Health Service Clinic/Center
  • Pomona, CA
  • NPI 1912907114
  Medicare reassignment Care Compare group
• Premier Family Medicine Associates, Inc

  dba Family Health Center

  • Health Service Clinic/Center
  • La Verne, CA
  • NPI 1033634373
  NPD
• Premier Family Medicine Associates, Inc

  dba PVHC at Chino Hills

  • Health Service Clinic/Center
  • Chino Hills, CA
  • NPI 1730112426
  NPD (past)

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1871060046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 FOOTHILL BLVD STE B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503027",
            "telephone_number": "909-392-6501",
            "fax_number": "909-469-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 FOOTHILL BLVD STE B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503027",
            "telephone_number": "909-392-6501",
            "fax_number": "909-469-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "56041",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871060046",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Corporation of Louis Z. Stromberg, DDS (La Verne Dental Group)
• Dental Corporation of Wade Melvin Banner DMD Inc
• Emma Depew, M.S. CCC-SLP
• Diane Boval DDS a Professional Dental Corp (Gold Coast Dental)
• Mini Diblasi, M.S.
• Donald J Guido OD Inc (La Verne Optometry)
• Jason Dorn, MPT
• Dr. Kenneth Boyer, O.D., Inc
• Dr. Kim Optometry Inc
• Makayla Draeger

• Medical Physician Assistant in La Verne, CA
• Providers in La Verne, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.