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

Jonathan Kim, DPM

Individual provider Podiatrist · NPI 1104220102

Jonathan Kim, DPM is a Podiatry in Indio, California. Graduated from Temple University School of Medicine in 2013, 13 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
Temple University School of Medicine
Licensed in
CA
In the registry since
2014
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

81709 Dr Carreon Blvd Ste D3
Indio, CA 92201-5578
Phone: (760) 863-0070
Show map & directions

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

Additional practice locations (3)

  • 15944 Los Serranos Country Club Dr, Chino Hills, CA 91709-3993 — (909) 287-0677
  • 16465 Sierra Lakes Pkwy, Fontana, CA 92336-1242 — (909) 427-9522
  • 728 N Euclid Ave, Ontario, CA 91762-2712 — (909) 984-5614

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E5392 (CA)

Record details

NPI number1104220102
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedOctober 20, 2014
Last updated in NPPESOctober 27, 2023
Certification dateApril 18, 2022
Mailing address74000 Country Club Dr Ste E4, Palm Desert, CA 92260-1678

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Indio