Michael J Kim DPM PC
NPI 1316665524ActiveOrganization· Clinic/Center, Podiatric· Rancho Cucamonga, CA
Clinic/Center, Podiatric in Rancho Cucamonga, California, registered in NPPES in August 2022. The authorized official on file is Lucia Kim, Office Manager. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1316665524 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2022 |
| Last updated in NPPES | Dec 2, 2022 |
| Certified by provider | Dec 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Podiatric Primary | 261QP1100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Clinic/Center, Podiatric providers in Rancho Cucamonga
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