IndividualActive
Ilkyoon Kim, M.D.
NPI 1154434728 · Cardiovascular Disease Physician · Clearlake, CA
Provider details
- NPI number
- 1154434728
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A34081 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15666 18th Avenue
Clearlake, CA 95422
Phone: (707) 994-4210
Fax: (707) 994-0839
Street-level locationGet directions
Mailing address
Po Box 5326
Clearlake, CA 95422-5326
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2014-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.