Daniel Kim, PA-C - Medicare Physician Assistant in Colton, CA

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Daniel Kim, PA-C is a medicare enrolled "Physician Assistant" in Colton, California. His current practice location is 400 N Pepper Ave, Colton, California. You can reach out to his office (for appointments etc.) via phone at (909) 580-2178.

Daniel Kim is licensed to practice in California (license number PA53827) 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 1730637182.

Contact Information

Daniel Kim, PA-C
400 N Pepper Ave,
Colton, CA 92324-1801
(909) 580-2178
Not Available

Map and Direction




Provider's Profile

Full NameDaniel Kim
GenderMale
SpecialityPhysician Assistant
Location400 N Pepper Ave, Colton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730637182
  • Provider Enumeration Date: 09/14/2016
  • Last Update Date: 12/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6103106919
  • Enrollment ID: I20161214001125

Medical Identifiers

Medical identifiers for Daniel Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730637182NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA53827 (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 NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameGlendale Adventist Emergency Physicians Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679907869
PECOS PAC ID: 1254563869
Enrollment ID: O20140415000064
Entity NameGem Medical Group Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689364721
PECOS PAC ID: 3072984400
Enrollment ID: O20230124000274

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-C
1410 N Grand Ave, #m,
Covina, CA 91724-1064

Ph: (310) 720-5739		Daniel Kim, PA-C
400 N Pepper Ave,
Colton, CA 92324-1801

Ph: (909) 580-2178

Reviews and Comments


Physician Assistant Nurses in Colton, CA

Richard Anthony Benavidez, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 400 N Pepper Ave, Colton, CA 92324
Phone: 909-580-1000    
Tiffany Jackie Hwang, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 400 N Pepper Ave # 205, Colton, CA 92324
Phone: 909-331-9598    
Lawrence David Gates, P.A-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 400 N. Pepper Avenue, Colton, CA 92324
Phone: 909-580-1400    
Mrs. Amy Elizabeth Dahlberg, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 400 N Pepper Ave, Colton, CA 92324
Phone: 909-354-2195    
Olivia Sophia Zetty, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 400 N Pepper Ave Ste 2m206, Colton, CA 92324
Phone: 317-900-3912    
Brian Kent Heaton,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 400 N Pepper Ave, Colton, CA 92324
Phone: 909-580-3390    
Emma Werner Oliver, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 400 N Pepper Ave, Colton, CA 92324
Phone: 909-580-1000    

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.