MR. ELIJAH SANGKU-DANIEL KIM (NPI# 1225501109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225501109 |
| Entity Type | Individual |
| Full Name | MR. ELIJAH SANGKU-DANIEL KIM |
| Other Name | MR. ELIJAH SANGKU-DANIEL KIM |
| Practice Address |
3800 Coolidge Ave Oakland CA 94602 |
| Mailing Address |
Po Box 15586 San Francisco CA 94115 |
| Practice Telephone | 5104822244 |
| Mailing Telephone | 4152605997 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
19455 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045097 | Elijah Kim | Surgery | 800 E Carpenter St, Springfield, IL 62769 | 2009-07-10 |
| Street Address |
3800 COOLIDGE AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780627687 | Margarita Colon | Counselor | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2006-06-14 |
| 1962013722 | Sabrina Eugster | Student in an Organized Health Care Education/Training Program | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-08-13 |
| 1174134233 | Dennis Carl Mccollins Jr. | Student in an Organized Health Care Education/Training Program | 3800 Coolidge Ave, Oakland, CA 94602-3399 | 2020-08-12 |
| 1649889346 | Sarah Marta Pierluissi | Student in an Organized Health Care Education/Training Program | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-07-28 |
| 1558970392 | Danielle Kristen Zelinsky | Social Worker | 3800 Coolidge Ave, Oakland, CA 94602-3399 | 2020-07-28 |
| 1932717295 | Ashley Elizabeth Siddiqui | Marriage & Family Therapist | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-07-22 |
| 1013525682 | Olivia Rose Hardt | Marriage & Family Therapist | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-07-20 |
| 1922626183 | Sara Lynn Estrada | Counselor | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-07-13 |
| 1841818093 | Christihannah Catherine Carmans | Marriage & Family Therapist | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-07-13 |
| 1003438219 | Mary Ellen Palmer | Student in an Organized Health Care Education/Training Program | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493887 | Chidozie Ephrem Ibe | Nurse Practitioner | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-10-02 |
| 1396203253 | Don Ellis Phillips Sr. | Nurse Practitioner | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-03-08 |
| 1487043758 | Marshall L Gold | Nurse Practitioner | 286 Santa Clara Ave, Oakland, CA 94610-2624 | 2015-01-09 |
| 1326449778 | Barbara Freiheit | Nurse Practitioner | 405 14th St, Oakland, CA 94612-2715 | 2014-09-04 |
| 1639578487 | Mona Kim | Nurse Practitioner | 1422 Harrison St, Oakland, CA 94612-3903 | 2014-08-18 |
| 1386919850 | Chelsea Landolin | Nurse Practitioner | 1422 Harrison St, Oakland, CA 94612-3903 | 2012-03-16 |
| 1558678862 | Haydee Ortiz | Nurse Practitioner | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2010-09-08 |
| 1902033095 | Margaret Grady | Nurse Practitioner | 9 Post Rd Ste M2, Oakland, NJ 07436-1619 | 2009-06-16 |
| 1073664231 | Mary Philomena Kastner | Nurse Practitioner | 525 21st St, Oakland, CA 94612-1605 | 2007-01-15 |
| 1427168335 | Janet M Nilsen | Nurse Practitioner | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-08-30 |
| Find all providers in OAKLAND | ||||
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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.