PHILLIP J KIM (NPI# 1033365341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033365341 |
| Entity Type | Individual |
| Full Name | PHILLIP J KIM |
| Credential | MD, MPH |
| Practice Address |
4770 W Herndon Ave Ste 105 Fresno CA 93722-8401 |
| Mailing Address |
650 S Zediker Ave Bldg 1 Parlier CA 93648-2667 |
| Practice Telephone | 5594500463 |
| Practice Fax Number | 5594500464 |
| Mailing Telephone | 5596463561 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A105129 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70046F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427376672 | Phillip Jung-wan Kim | Chiropractor | 3434 W 6th St Ste 312, Los Angeles, CA 90020-2578 | 2010-05-12 |
| 1538294236 | Phillip S Kim | Chiropractor | 277 Prospect Ave Lg, 1st Fl, Hackensack, NJ 07601-2570 | 2007-02-22 |
| 1649775313 | Phillip Kim | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2018-03-26 |
| 1194258301 | Phillip Kim | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141 | 2017-04-05 |
| 1336535202 | Phillip Kim | Student in an Organized Health Care Education/Training Program | 177 Ft Washingtn Ave # 7gs-313, New York, NY 10032-3733 | 2015-04-07 |
| 1962576264 | Phillip Kim | Hospitalist | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-20 |
| Street Address |
4770 W HERNDON AVE STE 105 |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265793020 | Richard Oravec | Family Medicine | 4770 W Herndon Ave Ste 105, Fresno, CA 93722-8401 | 2012-06-07 |
| 1548588239 | Matthew Knedel | Orthopaedic Surgery | 4770 W Herndon Ave Ste 105, Fresno, CA 93722-8401 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516253 | Lindsay Jackson-tito | Family Medicine | 3066 E Tenaya Way, Fresno, CA 93710-5944 | 2020-07-22 |
| 1982223228 | California Surgical Medical Clinics Inc. | Family Medicine | 1050 E Perrin Ave Ste 103, Fresno, CA 93720-5032 | 2020-04-15 |
| 1851925192 | One On One Medical Care | Family Medicine | 5468 W Athens Ave, Fresno, CA 93722-2100 | 2020-02-25 |
| 1760021380 | Kawana Idali Chester | Family Medicine | 5765 N Fresno St Ste 105, Fresno, CA 93710-6092 | 2019-12-30 |
| 1356860332 | Molly Alreichan Bachir | Family Medicine | 9526 N Winery Ave, Fresno, CA 93720-4600 | 2017-09-11 |
| 1568991990 | Kevin Kaleka | Family Medicine | 1110 N Blackstone Ave, Fresno, CA 93701-1016 | 2017-06-08 |
| 1326495078 | Nirpaul Singh Bains | Family Medicine | 3875 W Beechwood Ave, Fresno, CA 93711-0795 | 2016-05-23 |
| 1497147664 | Bautista Medical Group Inc | Family Medicine | 5339 E Kings Canyon Rd, Fresno, CA 93727-4527 | 2015-02-25 |
| 1548673239 | Cara Mcananey | Family Medicine | 290 N Wayte Ln Ste 1800, Fresno, CA 93701-2124 | 2014-06-10 |
| 1861805814 | John Ted Djabrayan | Family Medicine | 4711 W Ashlan Ave, Fresno, CA 93722-4307 | 2014-06-07 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.