Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295763423 Individual Practitioner Female Practitioner

Dr. Soo Y Kim , MD

Pediatrics • Highland, CA

Professional Overview & Biography Verified Profile Summary

Dr. Soo Kim, MD is a registered healthcare professional specializing in Pediatrics in Highland, CA. Practice services are available at 7000 BOULDER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7000 Boulder Ave

Highland, CA 923463348

Telephone 9098621191
Associated Practice Facility / Clinic
🏢 Beaver Medical Group P C Facility NPI 1598706293

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Highland, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Highland, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A61217

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00A612170 (CA)

Secondary Practice Locations

11401 Heacock St, Suite 330

Moreno Valley, CA 925577908

Phone: 9512478697

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Raymond Sedgh , MD

Family Medicine

NPI 1013353218

Doctor of Medicine (M.D.)

Dr. Rhonda Hoag , MD

Radiology - Diagnostic Radiology

NPI 1013957042

Doctor of Medicine (M.D.)

Dr. Michael Coen , MD

Orthopaedic Surgery

NPI 1023047438

Doctor of Medicine (M.D.)

Dr. Vincent Bugliosi , MD

Internal Medicine

NPI 1043255508

Doctor of Medicine (M.D.)

Marcella Gutierrez , FNP, NP-C

Nurse Practitioner - Family

NPI 1053570408

Family Nurse Practitioner, Nurse Practitioner (Certified)

Linda Doherty , PA

Physician Assistant

NPI 1073724803

Physician Assistant

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address December 27, 2025

Registered at PO BOX 35380, LAS VEGAS, NV 891335380 (Tel: 7025793203)

📍
Updated Practice Location January 26, 2022

Registered at 7000 BOULDER AVE, HIGHLAND, CA 923463348 (Tel: 9098621191)

📍
Updated Business Mailing Address January 26, 2022

Registered at PO BOX 10069, SAN BERNARDINO, CA 924230069 (Tel: 9093354188)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11401 HEACOCK ST, SUITE 330, MORENO VALLEY, CA 925577908 (Tel: 9512478697)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11175 CAMPUS ST., COLEMAN PAVILLION A1121, LOMA LINDA, CA 923540001 (Tel: 9095584715)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SOO KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #A61217 in CA)

🟢
Initial NPI Registration & Enumeration June 28, 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: 1295763423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: December 27, 2025
Sole Proprietor: No

Mailing Address

Po Box 35380

Las Vegas, NV 891335380

Phone: 7025793203

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.