DR. SUNDRA S KIM (NPI# 1518920735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518920735 |
| Entity Type | Individual |
| Full Name | DR. SUNDRA S KIM |
| Credential | MD |
| Practice Address |
1381 University St Healdsburg CA 95448-3314 |
| Mailing Address |
5712 Los Patios Dr Midland TX 79707-9729 |
| Practice Telephone | 7074335494 |
| Practice Fax Number | 7073852157 |
| Mailing Telephone | 4327041484 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
G43226 | CA | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
H5412 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA STATE MEDICAL LICENSE | G43226 | 01 |
| TX | TEXAS STATE MEDICAL LICENSE | H5412 | 01 |
| Street Address |
1381 UNIVERSITY ST |
| City | HEALDSBURG |
| State | CA |
| Zip Code | 95448-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629659 | Elvira Silvia Fiorentino | Dentist | 1381 University St, Healdsburg, CA 95448-3314 | 2005-09-13 |
| 1144726571 | Anna Rios | Dietitian, Registered | 1381 University St, Healdsburg, CA 95448-3314 | 2018-04-04 |
| 1407242613 | Laura Stever | Dietitian, Registered | 1381 University St, Healdsburg, CA 95448-3314 | 2015-04-14 |
| 1881087062 | Brittany Lee Gonzales | Dentist | 1381 University St, Healdsburg, CA 95448-3314 | 2015-03-11 |
| 1457788945 | Todd Steele | Nurse Practitioner | 1381 University St, Healdsburg, CA 95448-3314 | 2013-09-30 |
| 1265878938 | Maria Guadalupe Juarez Sanchez | Social Worker | 1381 University St, Healdsburg, CA 95448-3314 | 2013-05-21 |
| 1407199912 | Anna Victoria Ekstrom | Pediatrics | 1381 University St, Healdsburg, CA 95448-3314 | 2013-04-03 |
| 1720339484 | Teresa Bryner | Registered Nurse | 1381 University St, Healdsburg, CA 95448 | 2012-09-20 |
| 1730439001 | Elizabeth Anne Caine | Counselor | 1381 University St, Healdsburg, CA 95448-3314 | 2012-09-14 |
| 1043570708 | Cassandra Heller | Family Medicine | 1381 University St, Healdsburg, CA 95448-3314 | 2012-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891342002 | Linda Lazzar Friend | Marriage & Family Therapist | 2800 Hilltop Rd., Healdsburg, CA 95448 | 2019-08-22 |
| 1184124513 | Pacifica Sl Grove Street Lp | Alzheimer Center (Dementia Center) | 725 Grove Street, Healdsburg, CA 95448 | 2018-02-12 |
| 1073049284 | Jennifer Gnass | Counselor | 536 March Ave, Healdsburg, CA 95448 | 2017-05-08 |
| 1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
| 1619180700 | Sharron Levinger Rudell | Marriage & Family Therapist | 459 Hudson St, Healdsburg, CA 95448 | 2007-05-07 |
| 1932224490 | Stanley Winstonj Jacobs | Specialist | 145 Foss Creek Cir., Healdsburg, CA 95448 | 2007-03-20 |
| 1821126491 | Eric Culbertson | Surgery | 145 Foss Creek Cir, Healdsburg, CA 95448 | 2007-03-02 |
| 1265508790 | Stanley D Davis | Psychiatry & Neurology | 451 A March Ave, Healdsburg, CA 95448 | 2006-11-27 |
| 1306910559 | Christine Naber | Clinical Neuropsychologist | 455 March Ave Ste A, Healdsburg, CA 95448 | 2006-11-20 |
| 1700978947 | Marc Alexander | Dentist | 125 Grant Street, Healdsburg, CA 95448 | 2006-09-28 |
| Find all providers in zip 95448 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1124078365 | Rachel Mayorga | Internal Medicine | 810 Healdsburg Ave, Healdsburg, CA 95448-3613 | 2006-05-10 |
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| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1972081412 | Ahra Cho, M.d., Inc | Internal Medicine | 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 | 2018-08-06 |
| 1013401975 | Robert H Moon Md, Inc | Internal Medicine | 181 Rea Ave, El Cajon, CA 92020-3985 | 2018-06-14 |
| 1821587585 | Aost Healthcare Services | Internal Medicine | 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 | 2018-05-08 |
| 1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1427588417 | Vivacitas Medical Group PC | Internal Medicine | 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 | 2017-06-13 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| Find all providers with the same taxonomy | ||||
| City | HEALDSBURG |
| Zip Code | 95448 |
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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.