JASON KIM (NPI# 1205440104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205440104 |
| Entity Type | Individual |
| Full Name | JASON KIM |
| Practice Address |
11601 S Western Ave Los Angeles CA 90047-5006 |
| Mailing Address |
143 N Manhattan Pl Los Angeles CA 90004-4059 |
| Practice Telephone | 3232425000 |
| Mailing Telephone | 8183265111 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467913863 | Jason Donghyun Kim | Dentist | 542 New York Ave, Lyndhurst, NJ 07071-1532 | 2019-03-28 |
| 1023474921 | Jason Kim | Chiropractor | 2035 Royal Ln Ste 200, Dallas, TX 75229-7206 | 2016-01-07 |
| 1952785735 | Jason Kim | Dentist | 616 Virginia Beach Blvd Ste 102, Virginia Beach, VA 23451-4274 | 2015-07-12 |
| 1871904045 | Jason Kim | Chiropractor | 11900 Ne 1st St, Suite 300, Bellevue, WA 98005-3046 | 2014-05-09 |
| 1629302138 | Jason Kim | Dentist | 2220 Smokewood Ave, Fullerton, CA 92831-1107 | 2009-09-30 |
| 1275707846 | Jason Michael Kim | Urology | Department of Urology Hsc 9, Stony Brook University Medical Center, Stony Brook, NY 11794-7148 | 2008-04-15 |
| 1245451772 | Jason Jongwoon Kim | Acupuncturist | 16303 S. Western Ave., Suite 9, Gardena, CA 90247-4674 | 2007-05-01 |
| 1790793750 | Jason Kim | Dentist | 144-48 Roosevelt Ave, Ste Md-b, Flushing, NY 11354 | 2006-08-04 |
| 1013903475 | Jason Myungjoon Kim | Pharmacist | 8227 Woodman Ave, Panorama City, CA 91402-5426 | 2005-09-21 |
| 1205837945 | Jason S Kim | Pharmacist | 12724 Sagamore Rd, Leawood, KS 66209 | 2005-08-03 |
| Street Address |
11601 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90047-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102291 | Angela Zepeda | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-10-19 |
| 1568077527 | Lindsey Markley | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-15 |
| 1528673134 | Jesse Ramirez | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-10 |
| 1174138739 | Adrian Toledo | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-10 |
| 1760097505 | Avery Lowe | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-09 |
| 1598370348 | Romana Vera | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-09 |
| 1346855186 | Marybel Canizales | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-09 |
| 1548874415 | Cindy Orante Gil | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-08 |
| 1114531027 | Anai De La Cruz | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-08 |
| 1225642143 | Noemi Hernandez Kim | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1750805222 | Brian George Martinez | Counselor | 1448 W 83rd St, Los Angeles, CA 90047 | 2017-07-27 |
| 1295266609 | Maria Amezcua | Rehabilitation Practitioner | 108 W Victoria Street, Gardena, CA 90047 | 2017-03-27 |
| 1265861140 | Ameika Porter | Counselor | 1529 West 82nd Street, Los Angeles, CA 90047 | 2013-11-01 |
| 1053747519 | Maria D Macias | Counselor | 11601 S. Western Avenue, Los Angeles, CA 90047 | 2013-09-16 |
| 1366704132 | Evelyn Carolina Hernandez | Family Medicine | 1555 West 110th Street, Los Angeles, CA 90047 | 2012-06-08 |
| 1003057142 | Sandra Patricia Trim | Licensed Vocational Nurse | 2048 W 69 St, Los Angeles, CA 90047 | 2009-03-19 |
| 1194962001 | Estuardo Ardon | Counselor | 11603 S. Western Ave., Los Angeles, CA 90047 | 2009-01-14 |
| 1174788400 | Frenda Brigette Williams | Dentist | 2015 W 81st St, Los Angeles, CA 90047 | 2008-07-25 |
| Find all providers in zip 90047 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90047 |
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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.