DR. JEANNE KIM (NPI# 1215244736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215244736 |
| Entity Type | Individual |
| Full Name | DR. JEANNE KIM |
| Credential | M.D. |
| Practice Address |
6501 Coyle Ave Carmichael CA 95608-0306 |
| Mailing Address |
Po Box 7096 Stockton CA 95267-0096 |
| Practice Telephone | 9165375000 |
| Practice Fax Number | 9168512884 |
| Mailing Telephone | 2099567725 |
| Mailing Fax Number | 2099567733 |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2013-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | A115336 | CA | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447589692 | Jeanne Kim | Clinical Neuropsychologist | 21053 Devonshire St, Suite 101, Chatsworth, CA 91311-2364 | 2009-12-17 |
| 1790741890 | Jeanne I Kim | Internal Medicine | 259 E Erie St, Suite 2300, Chicago, IL 60611-2987 | 2006-04-26 |
| Street Address |
6501 COYLE AVE |
| City | CARMICHAEL |
| State | CA |
| Zip Code | 95608-0306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306821228 | David L Wolf | Anesthesiology | 6501 Coyle Ave, Carmichael, CA 95608 | 2005-12-13 |
| 1336746130 | Emily Montandon | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-10-05 |
| 1235745688 | Lianna Petrosyan | Counselor | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-09-21 |
| 1215541131 | Desirae Rachelle Exendine | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-09-08 |
| 1992322374 | Karen Weber | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-07-01 |
| 1164049847 | Ashley Ann Diaz | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-29 |
| 1164048450 | Jennifer Saephanh | Physician Assistant | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-22 |
| 1992321525 | Amy Marie Montgomery | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-19 |
| 1912520891 | Patricia Allison Stiles | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-05-26 |
| 1235764457 | Diane Sandstrom Nance | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
| 1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
| 1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
| 1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
| 1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
| 1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
| Find all providers in zip 95608 | ||||
| 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 |
|---|---|---|---|---|
| 1427684414 | Krista Jean Roberts | Student in an Organized Health Care Education/Training Program | 1809 Parliament Cir, Carmichael, CA 95608-5725 | 2020-03-21 |
| 1538677034 | Emi Calvo | Student in an Organized Health Care Education/Training Program | 6320 Meadowvista Dr, Carmichael, CA 95608-0975 | 2018-01-18 |
| 1912114372 | Modar Marei Samara | Student in an Organized Health Care Education/Training Program | 7000 Fair Oaks Blvd Apt 124, Carmichael, CA 95608-3353 | 2007-05-16 |
| 1952842890 | Arista May | Student in an Organized Health Care Education/Training Program | 2540 Carmichael Way, Carmichael, CA 95608-5314 | 2017-03-11 |
| 1235521238 | Carla Dawson | Student in an Organized Health Care Education/Training Program | 6147 Sutter Ave, Carmichael, CA 95608-2738 | 2015-02-27 |
| 1013179126 | Mingqing Li | Student in an Organized Health Care Education/Training Program | 6555 Coyle Ave Ste 301, Carmichael, CA 95608-0303 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 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 |
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| City | CARMICHAEL |
| Zip Code | 95608 |
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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.