ANNA KIM (NPI# 1366085359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366085359 |
| Entity Type | Individual |
| Full Name | ANNA KIM |
| Practice Address |
250 S G St San Bernardino CA 92410-3320 |
| Mailing Address |
11140 Mesquite Ave Loma Linda CA 92354-6556 |
| Practice Telephone | 9097712990 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | A66115 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649759812 | Anna Llewellyn Kim | Social Worker | 109 N Avenue 56 Ste B, Los Angeles, CA 90042-4111 | 2018-08-09 |
| 1013301951 | Anna Kim | Psychiatry & Neurology | 1 Gustave L Levy Pl Box 1 Box 1230, Mssm Department of Psychiatry, New York, NY 10029-6500 | 2015-03-27 |
| 1184781809 | Anna Kim | Chiropractor | 3217 Luahine Place, Haiku, HI 96708 | 2007-01-02 |
| 1588682769 | Anna Belle Kim | Internal Medicine | 1300 E Mullan Ave Ste B, Post Falls, ID 83854-6052 | 2006-07-17 |
| 1558983387 | Anna S Kim | Anesthesiologist Assistant | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-05-14 |
| 1417447368 | Anna Christina Kim | Psychologist | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2018-05-16 |
| 1164939781 | Anna Kim | Nurse Anesthetist, Certified Registered | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2018-01-04 |
| 1689101644 | Anna O Kim | Pharmacist | 9080 Colima Rd, Whittier, CA 90605-1600 | 2017-05-21 |
| 1487109682 | Anna Rachel Kim | Social Worker | 165 Scott Ave Ste 208, Morgantown, WV 26508-8847 | 2016-08-18 |
| 1063869352 | Anna Song Kim | Dermatology | 817 Princeton Ave Sw, Pob II, Suite 106, Birmingham, AL 35211-1333 | 2016-05-17 |
| Street Address |
250 S G ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92410-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346412244 | Matthew Bryan Fong | Pediatrics | 250 S G St, San Bernardino, CA 92410-3320 | 2008-03-31 |
| 1528693504 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
| 1437784410 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
| 1275167926 | Alma Rosa Vazquez | Social Worker | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-02 |
| 1407494750 | Joshua Joseph Masih | Nurse Practitioner | 250 S G St, San Bernardino, CA 92410-3320 | 2019-12-17 |
| 1104467190 | Karin Cecilia Ulltjaern | Nurse Practitioner | 250 S G St, San Bernardino, CA 92410-3320 | 2019-10-01 |
| 1144781733 | Monique Roach | Social Worker | 250 S G St, San Bernardino, CA 92410-3320 | 2019-03-27 |
| 1043721939 | Sac Health System | Family Medicine | 250 S G St, San Bernardino, CA 92410-3320 | 2017-10-18 |
| 1538688486 | Rocco J Massimiano | Pharmacist | 250 S G St, San Bernardino, CA 92410-3320 | 2017-09-12 |
| 1497275747 | Cecilia Kristell Martinez | Dietitian, Registered | 250 S G St, San Bernardino, CA 92410-3320 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303472 | Reina Elora Garcia | Student in an Organized Health Care Education/Training Program | 775 E Base Line St Spc 4, San Bernardino, CA 92410 | 2018-04-10 |
| 1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1881058592 | Terron Thomas | Contractor | 445 South G, Unit B, San Bernardino, IN 92410 | 2016-04-08 |
| 1982064572 | Zachary Norton-martinez | Specialist/Technologist | 650 Del Rosa Dr, San Bernardino, CA 92410 | 2016-02-25 |
| 1003280934 | Brenda Boyle | Nurse Practitioner | 1455 East 3rd Street, San Bernardino, CA 92410 | 2015-11-16 |
| 1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
| 1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
| Find all providers in zip 92410 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592670 | Amanda Messrah | Pharmacist | 3010 W Meyers Rd, San Bernardino, CA 92407-2082 | 2020-09-08 |
| 1689172447 | Robert Edward Beeman | Pharmacist | 355 E 21st St Ste A, San Bernardino, CA 92404-4851 | 2018-01-26 |
| 1417460247 | Nguyen D Dao | Pharmacist | 1033 N Waterman Ave Ste C, San Bernardino, CA 92410-3808 | 2017-11-15 |
| 1861937138 | Theresa Cherisse Taylor | Pharmacist | 618 S Mount Vernon Ave, Suite 136, San Bernardino, CA 92410-2762 | 2016-12-22 |
| 1851766505 | Afrouz Nikmanesh | Pharmacist | 1099 E. Hospitality Dr., San Bernardino, CA 92408 | 2015-12-07 |
| 1316319320 | Helen Phuoc Dien Tran | Pharmacist | 735 Carnegie Dr Ste 250, San Bernardino, CA 92408-3592 | 2015-10-29 |
| 1841676657 | Danielle Lenee Davis | Pharmacist | 1455 East 3rd St, San Bernardino, CA 92408-1719 | 2015-08-04 |
| 1811397086 | Xiaoyun Yang Peng | Pharmacist | 1535 S D St Ste 230, San Bernardino, CA 92408-3253 | 2014-08-25 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1649537762 | Edward V Guerrero | Pharmacist | 10990 East Hospitality Lane, San Bernardino, CA 92408 | 2012-04-13 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92410 |
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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.