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Active NPI 1578660916 Individual Practitioner Male Practitioner

Dr. Eric E. Kim , MD

Internal Medicine • Clearlake, CA

Professional Overview & Biography Verified Profile Summary

Dr. Eric Kim, MD is a certified Internal Medicine practicing in Clearlake, CA. With approximately 32 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1994, Dr. Kim delivers high-quality medical care to the local community at 4456 MANZANITA AVE.

Dr. Kim is affiliated with Lake County Tribal Health Consortium Inc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include telephone medical discussion with physician, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4456 Manzanita Ave
Suite# C

Clearlake, CA 954227937

Telephone 7079949191
Fax 7079949090

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1994

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Clearlake, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs -16.7 yrs vs City Avg
City Avg: 48.7 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Clearlake, CA (18502 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (32 Years) 32 Yrs
Clearlake Specialty Average (48.7 Years) 48.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes
215 90 $175.00 $133.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
113 73 $150.00 $133.37

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA A64242

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00A642420 (CA)
Commercial Insurance / Payer ID Medi-Cal Upin #
2113132 (CA)

Hospital & Practice Group Affiliations

Lake County Tribal Health Consortium Inc

925 Bevins Ct, Lakeport, CA 954539754

Phone: 70726383821204

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Destiny Darbazanjian

Behavior Analyst

NPI 1013723717
Makayla Moglie

Behavior Technician

NPI 1497697072
Dawn Rose

Behavior Technician

NPI 1518827773
Christina Ziehm , BCBA

Behavior Analyst

NPI 1538936992

Board Certified Behavior Analyst

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2010

Registered at 4456 MANZANITA AVE, SUITE# C, CLEARLAKE, CA 954227937 (Tel: 7079949191)

📍
Updated Business Mailing Address July 08, 2010

Registered at PO BOX 1500, CLEARLAKE, CA 954221500 (Tel: 7079949191)

👤
Provider Name / Credentials Updated July 08, 2010

Recorded as ERIC KIM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2010

Internal Medicine (License #A64242 in CA)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578660916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 08, 2010
Sole Proprietor: Yes

Mailing Address

Po Box 1500

Clearlake, CA 954221500

Phone: 7079949191

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.