Daniel Kim, PA - Medicare Physician Assistant in San Bernardino, CA

  1. Home
  2. Physician Assistant
  3. CA
  4. San Bernardino
Daniel Kim, PA is a medicare enrolled "Physician Assistant" in San Bernardino, California. His current practice location is 1505 W. 17th St, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 887-6494.

Daniel Kim is licensed to practice in California (license number PA21292) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275813370.

Contact Information

Daniel Kim, PA
1505 W. 17th St,
San Bernardino, CA 92411-2661
(909) 887-6494
(909) 887-6043

Map and Direction




Provider's Profile

Full NameDaniel Kim
GenderMale
SpecialityPhysician Assistant
Location1505 W. 17th St, San Bernardino, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275813370
  • Provider Enumeration Date: 08/19/2011
  • Last Update Date: 07/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7214104629
  • Enrollment ID: I20120125000230

Medical Identifiers

Medical identifiers for Daniel Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275813370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA21292 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Daniel Kim allows following entities to bill medicare on his behalf.
Entity NameChaparral Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477733624
PECOS PAC ID: 6800709403
Enrollment ID: O20031110000605
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871607762
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameSan Bernardino Medical Orthopaedic Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336187475
PECOS PAC ID: 9335045228
Enrollment ID: O20040303001330
Entity NameIsland Dermatology, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815556
PECOS PAC ID: 1850395070
Enrollment ID: O20060830000569
Entity NamePeter Helton Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023153277
PECOS PAC ID: 0941300784
Enrollment ID: O20070710000422

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daniel Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Daniel Kim, PA
400 N Pepper Ave 205,
Colton, CA 92324-1801

Ph: (909) 580-6353		Daniel Kim, PA
1505 W. 17th St,
San Bernardino, CA 92411-2661

Ph: (909) 887-6494

Reviews and Comments


Physician Assistant Nurses in San Bernardino, CA

Nicholas Walther, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-883-8711    
Deval Dave, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-883-8711    
Daniel E Kim, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 284 E Highland Ave, San Bernardino, CA 92404
Phone: 909-883-1098    Fax: 909-883-0653
Ms. Tanisha G Williams, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411
Phone: 909-887-6333    Fax: 909-887-1985
Miss Sara Natour, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2334 N Sierra Way, San Bernardino, CA 92405
Phone: 909-747-2715    
Ms. Keturah Braithwaite, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 941 Kendall Dr Ste C, San Bernardino, CA 92407
Phone: 302-354-7476    
Mr. Richard Tang, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1364 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-474-9952    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.