DR. JOHN KIM (NPI# 1467676460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467676460 |
| Entity Type | Individual |
| Full Name | DR. JOHN KIM |
| Credential | M.D. |
| Practice Address |
11234 Anderson St # Mc1516a Loma Linda CA 92354-2804 |
| Practice Telephone | 9095584905 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2018-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A100557 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942132 | John Minsung Kim | Acupuncturist | 2 N 6th Pl Apt 6n, Brooklyn, NY 11249-3397 | 2020-08-13 |
| 1437711207 | John Kim | Dentist | 21 White Bridge Rd Ste 111, Nashville, TN 37205-1443 | 2019-07-02 |
| 1306316039 | John S Kim | Technician | 217 N 21st St, Las Vegas, NV 89101-4503 | 2018-11-26 |
| 1821441551 | John H Kim | Registered Nurse | 12140 Monument Dr Unit 464, Fairfax, VA 22033-5518 | 2016-07-18 |
| 1912351941 | John Hyun-suk Kim | Dentist | 901 Moraga Rd Ste B, Lafayette, CA 94549-4567 | 2016-04-15 |
| 1831556117 | John Kim | Dentist | 10011 Bridgeport Way Sw, Ste 700, Lakewood, WA 98499-2332 | 2016-01-18 |
| 1184968703 | John J Kim | Acupuncturist | 20331 Allport Ln, Huntington Beach, CA 92646-5101 | 2012-11-20 |
| 1699039792 | John Minkyu Kim | Dentist | 618th Dental Co. Usag Humphreys, Carius Dental Clinic, Unit # 15660, Bldg # P3020, Apo, AP 96271-5660 | 2012-07-03 |
| 1598032559 | John Hakkyun Kim | Family Medicine | 3195 Harbor Blvd Ste 3, Costa Mesa, CA 92626-2514 | 2011-11-18 |
| 1811279722 | John Hoon Chul Kim | Pharmacist | 101 Pointe Dr, Unit 102, Northbrook, IL 60062-1001 | 2011-09-16 |
| Street Address |
11234 ANDERSON ST # MC1516A |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1033497441 | Robert D Mitchell | Internal Medicine | 11761 Almond Ct, Loma Linda, CA 92354-3640 | 2011-08-02 |
| 1033408372 | Roy P. Liu | Internal Medicine | 11234 Anderson St Rm 1556, Loma Linda, CA 92354-2804 | 2011-04-06 |
| 1174744577 | Lydia Liane Aye | Internal Medicine | 11234 Anderson St # Mc1556, Loma Linda, CA 92354-2804 | 2007-05-01 |
| 1558625699 | Wasseem Skef | Internal Medicine | 11234 Anderson St # Mc-1516, Loma Linda, CA 92354-2804 | 2012-07-03 |
| 1346541380 | Erick Jordan Imbertson | Internal Medicine | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2010-11-08 |
| 1326251844 | Kendrick Minyen Che | Internal Medicine | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-05-08 |
| 1174688071 | Khaled M Selim | Internal Medicine | 25865 Barton Rd Ste 101, Loma Linda, CA 92354 | 2006-12-22 |
| 1164516316 | Ronald Griffin | Internal Medicine | 11201 Benton Street, Jerry L. Pettis Vamc, Loma Linda, CA 92357 | 2006-10-03 |
| 1790898799 | David S. Condon | Internal Medicine | 11370 Anderson St, Ste 3150, Loma Linda, CA 92354-3450 | 2006-08-16 |
| 1487767398 | Kenneth L Kelln | Internal Medicine | 11370 Anderson St, Ste 3150, Loma Linda, CA 92354-3450 | 2006-08-16 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.