GRACE KIM (NPI# 1255867594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255867594 |
| Entity Type | Individual |
| Full Name | GRACE KIM |
| Credential | NURSE PRACTITIONER |
| Practice Address |
18300 Roscoe Blvd Northridge CA 91328 |
| Mailing Address |
9935 Lindley Ave Northridge CA 91325-1044 |
| Practice Telephone | 8188858500 |
| Practice Fax Number | 8187005690 |
| Mailing Telephone | 8186482355 |
| Mailing Fax Number | 8187005690 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006124 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
18300 ROSCOE BLVD |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128556 | Carl Lester Singerman | Internal Medicine | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 2005-07-18 |
| 1740891464 | Kristine Oshins | Registered Nurse | 18300 Roscoe Blvd, Northridge, CA 91325-4167 | 2020-08-14 |
| 1871103317 | Clarkian Medical | Internal Medicine | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 2020-08-07 |
| 1356950331 | Shelly L Worch | Registered Nurse | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 2020-07-27 |
| 1013525997 | Saba Gaffar, Md, Inc. | Pediatrics | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 2020-07-16 |
| 1649895186 | Valley Anesthesia Physicians Medical Group | Anesthesiology | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 2020-06-10 |
| 1578186714 | Abisola O Oshodi-adebowale | Respiratory Therapist, Certified | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 2020-05-22 |
| 1992337380 | Cep America - Neurology PC | Psychiatry & Neurology | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 2020-02-04 |
| 1184289464 | Shivoni Gerard | Occupational Therapist | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 2019-05-02 |
| 1336702547 | Michelle Homyak Md PC | Anesthesiology | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 2019-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932435047 | Southern California Physician Consultants Solutions, PC | Internal Medicine | 18300 Roscoe Blvd., Northridge, CA 91328 | 2009-10-23 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1396351326 | Vanessa Katrina Murillo | Nurse Practitioner | 17075 Devonshire St Ste 303, Northridge, CA 91325-5412 | 2020-09-15 |
| 1508421991 | Irenea De Gala Macatangay | Nurse Practitioner | 18424 Lemarsh St Unit 32, Northridge, CA 91325-1064 | 2019-05-01 |
| 1578127429 | Thy Hominh Nguyen | Nurse Practitioner | 19040 Community St, Northridge, CA 91324-4404 | 2019-04-25 |
| 1255804035 | Maria Aileen Que | Nurse Practitioner | 18350 Roscoe Blvd Ste 303, Northridge, CA 91325-4157 | 2019-01-04 |
| 1063920296 | Roam Healthcare, Inc., A Professional Nursing Corporation | Nurse Practitioner | 18175 Eccles St, Northridge, CA 91325-3721 | 2018-01-23 |
| 1811432172 | John Surry Bell Jr. | Nurse Practitioner | 10251 Hadley Ave, Northridge, CA 91324-1118 | 2016-12-22 |
| 1902216161 | Carolina Silva | Nurse Practitioner | 18350 Roscoe Blvd Ste 101, Northridge, CA 91325-4145 | 2014-04-28 |
| 1013338763 | Alicia E Lane | Nurse Practitioner | 19346 Nordhoff St, Northridge, CA 91324-2415 | 2013-12-26 |
| 1639456981 | Rosemary Virginia Sanders-davis | Nurse Practitioner | 7744 Jellico Ave, Northridge, CA 91325-4510 | 2011-11-14 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91328 |
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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.