DR. GRACE S KIM (NPI# 1083634323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083634323 |
| Entity Type | Individual |
| Full Name | DR. GRACE S KIM |
| Credential | M.D. |
| Practice Address |
1140 Laurel Street Suite D San Carlos CA 94070 |
| Mailing Address |
220 Standiford Ave Ste F Modesto CA 95350-1159 |
| Practice Telephone | 6505919933 |
| Practice Fax Number | 6505919941 |
| Mailing Telephone | 2095795628 |
| Mailing Fax Number | 2095795637 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A76484 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A76484 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1660 San Carlos Ave, San Carlos, CA 940702022 | 6507599122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407417611 | Grace Kim | Acupuncturist | 414 N Coast Highway 101, Encinitas, CA 92024-2529 | 2019-06-27 |
| 1417415662 | Grace Kim | Dietitian, Registered | 2120 Evergreen Dr, San Bruno, CA 94066-1828 | 2019-03-06 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1023405305 | Grace Eunheh Kim | Dentist | 7112 Ed Bluestein Blvd Ste 130, Austin, TX 78723-2924 | 2015-04-23 |
| 1679991897 | Grace Kim | Pediatrics | 925 E Southlake Blvd, Suite 100, Southlake, TX 76092 | 2014-04-03 |
| 1437572153 | Grace Kim | Occupational Therapist | 1607 W Redondo Beach Blvd, Gardena, CA 90247-3241 | 2014-01-31 |
| 1912335001 | Grace Jiin Kim | Acupuncturist | 61 Campbell Ave, Woodcliff Lake, NJ 07677-8061 | 2013-10-29 |
| 1255766119 | Grace Kim | Registered Nurse | 19416 37th Ave, Flushing, NY 11358-4003 | 2013-09-11 |
| 1366787103 | Grace G Kim | Physical Therapist | 375 Dover Chester Rd, Randolph, NJ 07869-3910 | 2012-12-05 |
| 1255684189 | Grace Donghwa Kim | Acupuncturist | 61 E 75th St Fl 2, New York, NY 10021-2739 | 2012-10-16 |
| Street Address |
1140 LAUREL STREET SUITE D |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841486792 | Alice Liu | Internal Medicine | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2007-09-24 |
| 1194750703 | Comprehensive Diabetes-endocrine Medical Associates, Inc. | Internal Medicine | 1660 San Carlos Ave, San Carlos, CA 94070-2022 | 2006-07-11 |
| 1013980390 | Andrea M Tom | Internal Medicine | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590450 | Napa Valley Internal Medicine | Internal Medicine | 999 Adams St Ste 201, Saint Helena, CA 94574-1149 | 2020-08-24 |
| 1821612565 | Almoutaz Bellah Shakally Md, Inc | Internal Medicine | 7462 Schuyler Ct, Rancho Cucamonga, CA 91730-8305 | 2020-05-28 |
| 1366061863 | Karen L. Herbst, Md, PC | Internal Medicine | 12381 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1063 | 2020-04-14 |
| 1619502572 | Pacific Endocrinology | Internal Medicine | 1855 1st Ave Ste 200b, San Diego, CA 92101-2685 | 2020-03-11 |
| 1659910743 | Robert Alan Rubin | Internal Medicine | 403 Paseo Miramar, Redondo Beach, CA 90277-6288 | 2020-01-06 |
| 1336790914 | Northeast Community Clinic | Internal Medicine | 4455 W 117th St Ste 502, Hawthorne, CA 90250-2261 | 2019-09-24 |
| 1124585393 | Steady Health Inc | Internal Medicine | 100 Bush St Ste 1600, San Francisco, CA 94104-3918 | 2019-02-25 |
| 1780140673 | Jennifer Anne Nuovo | Internal Medicine | 8880 Cal Center Dr Ste 300, Sacramento, CA 95826-3228 | 2019-02-15 |
| 1407324379 | Chrysalis Health of California | Internal Medicine | 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 | 2018-11-08 |
| 1881172864 | Todd Lorenz | Internal Medicine | 5 Robert Rd, Orinda, CA 94563-3215 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
Please comment or provide details below to improve the information on DR. GRACE S KIM.
| 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.