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

Kelvin Kim, STUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376031195

Kelvin Kim, STUDENT is an Orthopedic Surgery in Tustin, California. Graduated from Pennsylvania State University College of Medicine in 2018, 8 years ago. Practices with Richard Lin DO Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
Pennsylvania State University College of Medicine
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

14642 Newport Ave Ste 105
Tustin, CA 92780-6058
Phone: (949) 690-2433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 195258 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376031195
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedApril 26, 2018
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Richard Lin Do Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tustin