Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Debora Kim

Individual provider Family Nurse Practitioner · NPI 1154090694

Debora Kim is a Nurse Practitioner in Loma Linda, California. Qualified in 2020, 6 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (909) 558-4200
Fax: (909) 558-4212
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95016799 (CA)

Record details

NPI number1154090694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2021
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Loma Linda