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

Jonathan Kiltai Kim, MD

Individual provider Psychiatry Physician · NPI 1962643379

Jonathan Kiltai Kim, MD is a Psychiatry in Riverside, California. Graduated from Loma Linda University School of Medicine in 2007, 19 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
19
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5225 Canyon Crest Dr Bldg 100 Ste 103
Riverside, CA 92507-6301
Phone: (951) 248-4000
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence C138566 (CA)

Record details

NPI number1962643379
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 13, 2009
Last updated in NPPESDecember 3, 2021
Mailing address5225 Canyon Crest Dr, Bldg. 100, Suite 103, Riverside, CA 92507-6301

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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