DR. GRACE JOY KIM (NPI# 1205389285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205389285 |
Entity Type | Individual |
Full Name | DR. GRACE JOY KIM |
Credential | PHARM.D. |
Practice Address |
777 Davis St San Leandro CA 94577-6923 |
Mailing Address |
3350 La Jolla Village Dr San Diego CA 92161-0002 |
Practice Telephone | 5106262800 |
Mailing Telephone | 8585528585 |
Enumeration Date | 2016-07-26 |
Last Update Date | 2020-04-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 76802 | CA | Pharmacy Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
760 Harrison St, San Francisco, CA 941071235 | 4158361700 | 4158361737 |
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 |
777 DAVIS ST |
City | SAN LEANDRO |
State | CA |
Zip Code | 94577-6923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285833962 | John Charles Roedel | Marriage & Family Therapist | 777 Davis St, San Leandro, CA 94577-6923 | 2007-07-13 |
1861017097 | Elena Duong | Psychologist | 777 Davis St, San Leandro, CA 94577-6923 | 2020-06-12 |
1033750450 | Leemore Federman | Social Worker | 777 Davis St, San Leandro, CA 94577-6923 | 2019-10-07 |
1649616137 | Luis Alberto Jimenez-camargo | Counselor | 777 Davis St, San Leandro, CA 94577-6923 | 2013-05-11 |
1194955609 | Benjamin Campbell | Psychologist | 777 Davis St, San Leandro, CA 94577-6923 | 2009-07-17 |
1881834505 | Grace C Kodama | Counselor | 777 Davis St, San Leandro, CA 94577-6923 | 2009-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
Find all providers in zip 94577 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871130146 | Wendy Nga Wing Cheng | Pharmacist | 755 Moraga Dr, San Leandro, CA 94578-4044 | 2019-12-05 |
1013492552 | Jessica Wong | Pharmacist | 2268 Oceanside Way, San Leandro, CA 94579-2786 | 2018-10-01 |
1326546227 | Thai-son Hoang Nguyen | Pharmacist | 15500 Washingston Ave, San Leandro, CA 94579 | 2018-01-25 |
1679007421 | May Chan | Pharmacist | 725 Buriat St, San Leandro, CA 94577-1571 | 2017-04-19 |
1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
1023499506 | Myong H Kim | Pharmacist | 1266 Alder Creek Cir, San Leandro, CA 94577-5156 | 2015-06-10 |
1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
1073942330 | Harvey Victor Chin I | Pharmacist | 2102 Hillside Cir, San Leandro, CA 94577-6348 | 2013-11-07 |
1073878112 | Shik-ki Li | Pharmacist | 3785 Anza Way, San Leandro, CA 94578-4107 | 2012-07-04 |
1780952630 | Dianna H Wong | Pharmacist | 15850 E14 Th Street, San Leandro, CA 94578-2024 | 2011-12-07 |
Find all providers in SAN LEANDRO |
City | SAN LEANDRO |
Zip Code | 94577 |
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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.