KYUNG KIM (NPI# 1457391773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457391773 |
| Entity Type | Individual |
| Full Name | KYUNG KIM |
| Credential | M.D. |
| Practice Address |
1631 Creekside Dr Ste 102 Folsom CA 95630 |
| Mailing Address |
740 Oak Avenue Pkwy Ste 110 Folsom CA 95630-6814 |
| Practice Telephone | 9162500377 |
| Practice Fax Number | 9162500378 |
| Mailing Telephone | 9162500377 |
| Mailing Fax Number | 9162500378 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A910160 | CA | Other Service Providers |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A91016 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8110 Timberlake Way, Sacramento, CA 958235401 | 9162500377 | 9162500378 |
| 8100 Bruceville Rd, Sacramento, CA 958232353 | 9166899300 | 9166899322 |
| 9390 Big Horn Blvd Ste 145, Elk Grove, CA 957587980 | 9165731549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922590058 | Kyung Soo Kim | Acupuncturist | 170 Evergreen Rd Apt 5a, Edison, NJ 08837-2444 | 2018-06-04 |
| 1265976898 | Kyung M Kim | Occupational Therapist | 14390 Uniform Dr, Centreville, VA 20121-2321 | 2016-12-16 |
| 1013364421 | Kyung Sook Kim | Anesthesiology | 5 Floral Park Ct, Savoy, IL 61874-9761 | 2016-05-16 |
| 1750761995 | Kyung Kim | Pediatrics | 251 Columbia Club Dr E, Blythewood, SC 29016-9479 | 2015-06-03 |
| 1902139934 | Kyung Sik Kim | Acupuncturist | 3150 Southwycke Ter, Fremont, CA 94536-1960 | 2009-09-09 |
| 1497980437 | Kyung Taek Kim | Acupuncturist | 1481 S King Street, #106, Honolulu, HI 96814 | 2009-05-20 |
| 1134344419 | Kyung Hee Kim | Social Worker | 12356 Donovan Cir, Austin, TX 78753-7220 | 2007-04-13 |
| 1831210335 | Kyung Han Kim | Physical Therapist | 4304 Evergreen Ln Ste 102, Annandale, VA 22003-3216 | 2007-04-02 |
| 1790816627 | Kyung Ja Kim | Acupuncturist | 4482 Barranca Pkwy Ste 248, Irvine, CA 92604-4770 | 2007-03-09 |
| 1922140425 | Kyung Il Kim | Dentist | 214 20 45 Road, Bayside, NY 11361-3338 | 2007-02-12 |
| Street Address |
1631 CREEKSIDE DR STE 102 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205802907 | Mansoor Javeed | Internal Medicine | 1631 Creekside Dr, Folsom, CA 95630 | 2006-02-23 |
| 1174146211 | Jaclyn Victoria | Internal Medicine | 1631 Creekside Dr, Folsom, CA 95630-3820 | 2020-05-23 |
| 1346757135 | Hematology and Oncology Associates of Northern California | Internal Medicine | 1631 Creekside Dr, Folsom, CA 95630 | 2018-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
| 1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
| 1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
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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.