DR. JEANNIE G KIM (NPI# 1386668002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386668002 |
| Entity Type | Individual |
| Full Name | DR. JEANNIE G KIM |
| Credential | MD |
| Practice Address |
2400 E 4th St National City CA 91950-2026 |
| Mailing Address |
Po Box 511419 Los Angeles CA 90051-7974 |
| Practice Telephone | 8886571576 |
| Practice Fax Number | 6199373698 |
| Mailing Telephone | 8662842771 |
| Mailing Fax Number | 8003341041 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A72965 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A72965 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A729650 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164691226 | Jeannie S Kim | Counselor | 13510 Meganwood Pl, La Mirada, CA 90638-6524 | 2008-02-22 |
| 1205004702 | Jeannie S. Kim | Speech-Language Pathologist | 316 Franklin Ct, Edgewater, NJ 07020-1603 | 2008-02-19 |
| 1023410503 | Jeannie Kim | Physical Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2014-09-16 |
| 1992955983 | Jeannie Sohn Kim | Social Worker | 3900 Broadway, Oakland, CA 94611-5616 | 2008-09-25 |
| 1073790275 | Jeannie Kim | Chiropractor | 12 James St, Morristown, NJ 07960-5942 | 2008-01-30 |
| Street Address |
2400 E 4TH ST |
| City | NATIONAL CITY |
| State | CA |
| Zip Code | 91950-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598756710 | Paradise Valley Hospital | General Acute Care Hospital | 2400 E 4th St, National City, CA 91950-2026 | 2005-11-04 |
| 1992294490 | Mary Jane Diaz Vicente | Registered Nurse | 2400 E 4th St, National City, CA 91950-2026 | 2018-05-09 |
| 1982079448 | Monali Patel Md Inc | Psychiatry & Neurology | 2400 E 4th St, National City, CA 91950-2026 | 2015-12-09 |
| 1144603358 | Nima Jalali | Emergency Medicine | 2400 E 4th St, National City, CA 91950-2026 | 2015-07-07 |
| 1780066076 | Pacific Paradise Emergency Physicians Medical Group Inc | Emergency Medicine | 2400 E 4th St, National City, CA 91950-2026 | 2015-06-23 |
| 1962895854 | Kaushal Jitendra Mehta | Nurse Practitioner | 2400 E 4th St, National City, CA 91950-2026 | 2015-03-16 |
| 1568864346 | Advantage Ambulance Inc | Ambulance | 2400 E 4th St, National City, CA 91950-2026 | 2014-09-23 |
| 1275947020 | Dr. J. D. Beckes, Inc. | Internal Medicine | 2400 E 4th St, National City, CA 91950-2026 | 2014-06-19 |
| 1780006486 | Yvette St Martin | Nurse Practitioner | 2400 E 4th St, National City, CA 91950 | 2014-01-14 |
| 1285064907 | Prime Healthcare Paradise Valley | Psychiatric Unit | 2400 E 4th St, National City, CA 91950-2026 | 2013-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082350 | Good Samaritan Home Health Care, Inc. | Home Health | 3403 E Plaza Blvd., Unit K, National City, CA 91950 | 2020-08-06 |
| 1316439631 | Progressive Sleep Center A Medical Corporation | Family Medicine | 502 Euclid Ave Ste 302, National City, CA 91950 | 2018-06-01 |
| 1275997074 | Dr Joshua Sameer Pal, Md Corporation | Pain Medicine | 3142 E. Plaza Blvd., Suite T, National City, CA 91950 | 2016-04-07 |
| 1780046672 | Carmen Velazquez Md Inc | Internal Medicine | 2575 East Eight Street, National City, CA 91950 | 2016-03-22 |
| 1598126856 | Valderene Da Paixao Passos Waian | Counselor | 2414 Hoover Avenue, San Diego, CA 91950 | 2016-03-15 |
| 1215247879 | Paulina G Quintana M D Inc | Pathology | 2400 E 4th Street, National City, CA 91950 | 2010-10-18 |
| 1679807069 | Renato David Reyes | Dentist | 1625 Sweetwater Road, Suite G1, National City, CA 91950 | 2009-10-01 |
| 1376774349 | Antioquia Dental Care, Inc. | Dentist | 1727 Sweetwater Road, Suite Q, National City, CA 91950 | 2009-08-07 |
| 1336378371 | James T Kim | Internal Medicine | 502 Euclid Ave Ste 104, National City, CA 91950 | 2009-07-13 |
| 1477700730 | Eusebio Dental Corporation | Dentist | 1127 Highland Avenue, National City, CA 91950 | 2008-08-19 |
| Find all providers in zip 91950 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841303419 | Rosemarie Lim | Internal Medicine | 502 Euclid Ave Ste 304, National City, CA 91950-8900 | 2006-08-16 |
| 1750579223 | Terrence Wayne Crouch | Internal Medicine | 655 Euclid Ave, Suite 401, National City, CA 91950-2957 | 2007-10-10 |
| 1396812475 | Terrence W Crouch Md Inc | Internal Medicine | 655 Euclid Ave, Suite 401, National City, CA 91950 | 2006-11-30 |
| 1649362625 | Premiere Pulmonary Consultants | Internal Medicine | 502 Euclid Ave Ste 304, National City, CA 91950-8900 | 2006-09-28 |
| 1033222708 | Dottie Ann Sazon | Internal Medicine | 655 Euclid Ave, Suite #206, National City, CA 91950-2957 | 2006-08-16 |
| 1922056670 | James Erwin Obrasky | Internal Medicine | 2400 E 4th St, National City, CA 91950-2026 | 2006-05-05 |
| 1447208111 | James Obrasky Md Inc | Internal Medicine | 2400 E 4th St, National City, CA 91950-2026 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
| City | NATIONAL CITY |
| Zip Code | 91950 |
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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.