DR. KYEONG SEON KIM (NPI# 1356786115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356786115 |
| Entity Type | Individual |
| Full Name | DR. KYEONG SEON KIM |
| Credential | M.D. |
| Practice Address |
4150 V St Sacramento CA 95817 |
| Mailing Address |
4150 V St Sacramento CA 95817-1460 |
| Practice Telephone | 9167345031 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
A134046 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4150 V ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132606 | Stanley P. Sady | Anesthesiology | 4150 V St, Pssb Suite 1200, Sacramento, CA 95817-1460 | 2005-05-31 |
| 1144856006 | Caryn Zagaynov | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2020-03-22 |
| 1710446745 | Ian Dineen Brooks | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2019-03-19 |
| 1801355763 | Dina Attia | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2019-03-19 |
| 1235698184 | Deepthi Lakshmi Penta | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2019-03-19 |
| 1134625676 | Angel Mendoza | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2018-04-03 |
| 1003311929 | Katherine Desprez Wick | Internal Medicine | 4150 V St, Ste 111, Sacramento, CA 95817 | 2018-03-25 |
| 1326571795 | Louis Devoe | Student in an Organized Health Care Education/Training Program | 4150 V St, #1200, Sacramento, CA 95817-1460 | 2017-04-04 |
| 1841723228 | John Sun | Student in an Organized Health Care Education/Training Program | 4150 V St, #1200, Sacramento, CA 95817-1460 | 2017-04-04 |
| 1114459575 | Duc Phuong Le | Student in an Organized Health Care Education/Training Program | 4150 V St, #1200, Sacramento, CA 95817-1460 | 2017-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528358900 | Adam Prentice Chao | Anesthesiology | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2011-04-19 |
| 1952622110 | John Kuan Chi Liu | Anesthesiology | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2010-06-22 |
| 1134359755 | Geneva B Young | Anesthesiology | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2009-07-16 |
| 1396992129 | Sampaguita-inez Pinpin Tafoya | Anesthesiology | 2425 Stockton Blvd, Shriner's Hospital for Children - Dept of Anesthesia, Sacramento, CA 95817-2215 | 2008-08-22 |
| 1760408389 | Niroop R Ravula | Anesthesiology | 4150 V St, Suite 1200, Sacramento, CA 95817-1460 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457752198 | Mvp Pediatric and Urgent Care A Professional Corporation | Anesthesiology | 18555 Ventura Blvd Ste B, Tarzana, CA 91356-4101 | 2014-09-12 |
| 1518207471 | Robert W Wong | Anesthesiology | 1121 New Ave, Alhambra, CA 91801-4915 | 2013-02-28 |
| 1609145549 | Joanna Treder Kawecki | Anesthesiology | 13053 Maxwell Dr, Tustin, CA 92782-0919 | 2011-12-21 |
| 1891940078 | Susan Firestone | Anesthesiology | 4650 W Sunset Blvd # 3, Los Angeles, CA 90027-6062 | 2008-12-01 |
| 1619918364 | Toni Denise Daniels | Anesthesiology | 1430 13th Avenue, Oakland, CA 94606-1912 | 2006-06-10 |
| 1649880147 | Pediatric Office Anesthesia Specialists | Anesthesiology | 12625 High Bluff Dr Ste 301, San Diego, CA 92130-2054 | 2020-08-09 |
| 1225596422 | Certified Anesthesia Consultants, Inc. | Anesthesiology | 1351 E Spruce Ave Ste 110, Fresno, CA 93720-3342 | 2019-03-06 |
| 1285192617 | Alexander R Schmidt | Anesthesiology | 300 Pasteur Dr, 3rd Floor Mail Code 5640, Stanford, CA 94305 | 2019-03-05 |
| 1104394329 | Scott C. Wallace Md Inc | Anesthesiology | 1415 Ross Ave, El Centro, CA 92243-4306 | 2018-11-06 |
| 1962944074 | Dennis Chang Md Pediatric Anesthesia Apc | Anesthesiology | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 | 2016-11-07 |
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| City | SACRAMENTO |
| Zip Code | 95817 |
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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.