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

Dr. Michael Jevin Kim, MD

Individual provider Diagnostic Radiology Physician · NPI 1699096784

Dr. Michael Jevin Kim, MD is a Diagnostic Radiology in Orange, California. Graduated from Northwestern University Feinberg Medical School in 2006, 20 years ago. Practices with Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance, a 115-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
20
Trained at
Northwestern University Feinberg Medical School
Licensed in
CA, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 The City Dr S Route 140
Orange, CA 92868-3201
Phone: (714) 456-2216
Fax: (714) 456-7864
Show map & directions

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

Additional practice locations (1)

  • 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 — (253) 761-4200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A101880 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD70003563 (WA)

Record details

NPI number1699096784
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 12, 2010
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address101 The City Dr S, Route 140, Orange, CA 92868-3201

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2006 (20 years in practice)
Group practice Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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