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

Michael Jae Bum Kim, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1073951190

Michael Jae Bum Kim, DPM is a Podiatry in Rancho Cucamonga, California. Graduated from Temple University School of Podiatric Medicine in 2013, 13 years ago. Accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
13
Trained at
Temple University School of Podiatric Medicine
Licensed in
CA, MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

9353 Fairway View Pl Ste 100
Rancho Cucamonga, CA 91730-0972
Phone: (909) 858-2772
Fax: (909) 300-6324
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5294 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 5901002476 (MI)

Record details

NPI number1073951190
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 11, 2013
Last updated in NPPESFebruary 23, 2024
Certification dateDecember 1, 2022

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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