Kellie-Anne Ishii-Kim, OD
NPI 1710465372 · Optometrist · San Dimas, CA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kellie-Anne Ishii-Kim, OD is a Optometrist provider in San Dimas, CA (NPI 1710465372).
Provider details
- NPI number
- 1710465372
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 35068 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2018-08-04
- Last updated
- 2023-03-07
- Certified
- 2023-03-07
Frequently asked questions
- What is Kellie-Anne Ishii-Kim's NPI number?
- Kellie-Anne Ishii-Kim's National Provider Identifier (NPI) is 1710465372, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie-Anne Ishii-Kim's specialty?
- Kellie-Anne Ishii-Kim is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Kellie-Anne Ishii-Kim located?
- Kellie-Anne Ishii-Kim's practice location on file with NPPES is 425 W Bonita Ave Ste 110b, San Dimas, CA 91773-2543.
- What is Kellie-Anne Ishii-Kim's phone number?
- The practice phone number listed in the NPPES registry for Kellie-Anne Ishii-Kim is (909) 394-0462.
- Does Kellie-Anne Ishii-Kim accept Medicare?
- Kellie-Anne Ishii-Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kellie-Anne Ishii-Kim's NPI active?
- Yes — Kellie-Anne Ishii-Kim's NPI (1710465372) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.