SAHRA KIM (NPI# 1295242303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295242303 |
Entity Type | Individual |
Full Name | SAHRA KIM |
Credential | M.A. |
Practice Address |
23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660-7908 |
Mailing Address |
29158 Oceanridge Dr Rancho Palos Verdes CA 90275-4908 |
Practice Telephone | 3232068374 |
Mailing Telephone | 3232068374 |
Enumeration Date | 2018-01-10 |
Last Update Date | 2018-01-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
23 CORPORATE PLAZA DR STE 150 |
City | NEWPORT BEACH |
State | CA |
Zip Code | 92660-7908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982769253 | Jacklyn Elizabeth Lewis | Psychologist | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2006-12-27 |
1225645096 | Iamee Kling | Student in an Organized Health Care Education/Training Program | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2020-09-25 |
1386251122 | Matthew Nozaki | Student in an Organized Health Care Education/Training Program | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2020-09-25 |
1235751561 | Ashley Elizabeth Attaway | Student in an Organized Health Care Education/Training Program | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2020-05-08 |
1396201273 | Center for Integrative Health | Psychologist | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2019-02-14 |
1821580226 | Healthnode Inc. | Case Management | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2018-05-31 |
1619487287 | Allied Psychological Services, P.C. | Psychologist | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2017-10-09 |
1932621216 | Newport Psychology | Clinical Neuropsychologist | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660 | 2017-07-08 |
1417207358 | Payam Jafari | Psychologist | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2012-09-19 |
1205119633 | Benjamin William Strack | Psychologist | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2011-09-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
Find all providers in zip 92660 |
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 |
---|---|---|---|---|
1881105260 | Angelica Chakos | Student in an Organized Health Care Education/Training Program | 4700 Von Karman Ave, Newport Beach, CA 92660-2194 | 2017-10-12 |
1144620501 | Rebecca Fuller Summers | Student in an Organized Health Care Education/Training Program | 260 Newport Center Dr Ste 100, Newport Beach, CA 92660-7522 | 2014-09-03 |
1508278185 | Julie Russell | Student in an Organized Health Care Education/Training Program | 2622 Vista Dr, Newport Beach, CA 92663-5634 | 2014-05-29 |
1871882035 | Cheryl-lynn Marie Bugailiskis | Student in an Organized Health Care Education/Training Program | 116 E Balboa Blvd Apt A, Newport Beach, CA 92661-1180 | 2011-03-28 |
1285941468 | Amanda Jo Mccullough | Student in an Organized Health Care Education/Training Program | 4001 Westerly Pl, Suite 110, Newport Beach, CA 92660-2315 | 2010-09-09 |
1295994309 | Shivani Chopra | Student in an Organized Health Care Education/Training Program | 4695 Macarthur Ct Ste 1100, Newport Beach, CA 92660-1866 | 2008-06-03 |
1740483593 | Vaneesh Soni | Student in an Organized Health Care Education/Training Program | 35 Ridgeline Dr, Newport Beach, CA 92660-6838 | 2007-06-08 |
1225645096 | Iamee Kling | Student in an Organized Health Care Education/Training Program | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2020-09-25 |
1386251122 | Matthew Nozaki | Student in an Organized Health Care Education/Training Program | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2020-09-25 |
1104432228 | Shashonk Illam | Student in an Organized Health Care Education/Training Program | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-09-23 |
Find all providers in NEWPORT BEACH |
City | NEWPORT BEACH |
Zip Code | 92660 |
Please comment or provide details below to improve the information on SAHRA KIM.
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.