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NPISignal

Individual Healthcare Provider

Paul Seung Ki Kim, M.D.

NPI Record: ActivePreventive Medicine — Public Health & General Preventive Medicine
NPI1710129093
San Bernardino, California

Provider's NPPES record last updated: June 11, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1710129093
Primary Specialty
Preventive Medicine — Public Health & General Preventive Medicine
Practice Location
San Bernardino, California
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 11:45 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Preventive Medicine

    Public Health & General Preventive Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

    Taxonomy code 2083P0901X
  • Specialist

    Other Service Providers

    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

    Taxonomy code 174400000X
  • Preventive Medicine

    Occupational Medicine

    Allopathic & Osteopathic Physicians

    Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

    Taxonomy code 2083X0100X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X

Provider-Reported License Information

Preventive Medicine (California)
A114242
Specialist (California)
A114242
Preventive Medicine (California)
A114242
General Practice (California)
A114242
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1950 S Sunwest Ln

Ste 108

San Bernardino, California 92408-3263

Phone: (909) 521-8818

Additional Practice Location

8100 California City Blvd

California City, California 93505-2648

Phone: (818) 651-6608

Fax: (818) 584-2703

Additional Practice Location

17310 Bear Valley Rd Ste 101

Victorville, California 92395-7773

Phone: (909) 453-3255

Fax: (909) 521-9854

Record Information

Enumeration Date
April 1, 2009
Provider's NPPES Record Last Updated
June 11, 2023
Certification Date
June 11, 2023
NPISignal NPPES Dataset
August 2026

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