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

Sori Kim, NP

Individual provider Registered Nurse · NPI 1083363980

Sori Kim, NP is a Nurse Practitioner in Loma Linda, California. Qualified in 2022, 4 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Tennessee.

Years since qualifying
4
Licensed in
CA, TN
In the registry since
2022
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

11234 Anderson St # MC-1516
Loma Linda, CA 92350-1716
Phone: (909) 558-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95026540 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 193895 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 95281041 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 31318 (TN)

Record details

NPI number1083363980
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 20, 2022
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Loma Linda