KELLY YUKIE KAWAOKA (NPI# 1528265972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528265972 |
| Entity Type | Individual |
| Full Name | KELLY YUKIE KAWAOKA |
| Credential | M.D. |
| Practice Address |
11175 Campus St Coleman Pavilion Room A1121 Loma Linda CA 92350-1700 |
| Practice Telephone | 9095588124 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2011-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A104863 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A104863 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11175 CAMPUS ST COLEMAN PAVILION ROOM A1121 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821181553 | Huitzilin Mauricio Olmecah | Neurological Surgery | 11175 Campus St, Department of Neurology, Coleman Pavilion - Rm. 11108, Loma Linda, CA 92350-1700 | 2006-10-02 |
| 1518490804 | Erika Kristine Reel | Student in an Organized Health Care Education/Training Program | 11175 Campus St, Cp-11108, Loma Linda, CA 92350-1700 | 2017-04-04 |
| 1295268530 | Kenna Brooke Schnarr | General Practice | 11175 Campus St, Coleman Pavilion, Room #11105, Loma Linda, CA 92350-1700 | 2017-04-04 |
| 1578004156 | Michelle Tanzil | Obstetrics & Gynecology | 11175 Campus St, Loma Linda, CA 92350-1700 | 2017-03-15 |
| 1639527286 | Leah Marie Humann | Student in an Organized Health Care Education/Training Program | 11175 Campus St, #21108, Loma Linda, CA 92350-1700 | 2016-05-24 |
| 1205281540 | Linninea Ebell | Nurse Practitioner | 11175 Campus St, Suite 11120, Loma Linda, CA 92350-1700 | 2016-04-23 |
| 1891182093 | Stewart Haven Barlow | Obstetrics & Gynecology | 11175 Campus St, Loma Linda, CA 92350-1700 | 2015-04-25 |
| 1295149771 | Shrinkhala Srivastava | Pediatrics | 11175 Campus St, Loma Linda, CA 92354 | 2014-06-12 |
| 1700298437 | Loma Linda University Medical Center | General Acute Care Hospital | 11175 Campus St, Loma Linda, CA 92350-1700 | 2014-05-29 |
| 1306263587 | Mallory Cohen | Pediatrics | 11175 Campus St, Cp- A1120, Loma Linda, CA 92350-1700 | 2014-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059010 | Stephanie Abandy | Student in an Organized Health Care Education/Training Program | 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 | 2020-03-23 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1992057269 | Hildemar Feliciano Dos Santos | Nutritionist | 25040 Stewart Street, Loma Linda, CA 92350 | 2012-10-10 |
| 1184910762 | Kristyn Anne Mannoia | Surgery | 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 | 2011-06-22 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1144547977 | Andrei Radulescu | Surgery | 11175 Campus St Ste 21111, Loma Linda, CA 92350 | 2010-05-04 |
| 1619102845 | Wing Sze Esther Yung | Surgery | 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 | 2009-05-18 |
| 1679720734 | Ronald Lee Young | Dentist | 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-20 |
| Find all providers in zip 92350 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1912358664 | Samuel Houston Limbong | Internal Medicine | 11201 Benton St Hospitalist Section, Loma Linda, CA 92357-2804 | 2016-06-23 |
| 1083069611 | Navya M Reddy | Internal Medicine | 11234 Anderson St Bldg Suitec, Loma Linda, CA 92354-2804 | 2016-05-02 |
| 1194170290 | Nikhil Ghatnekar | Internal Medicine | 11234 Anderson St # Mc1503, Loma Linda, CA 92354-2804 | 2016-04-27 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1912384025 | Annie Park | Internal Medicine | 11175 Campus Street, Csp 11015, Loma Linda, CA 92354 | 2015-04-28 |
| 1285021113 | Steven Randolph Shadix | Internal Medicine | 11186 San Mateo Dr Apt B, Loma Linda, CA 92354-3224 | 2015-04-17 |
| 1295132298 | Tahseen Shareef Md, Inc | Internal Medicine | 11374 Mountain View Ave Ste A1, Loma Linda, CA 92354-3830 | 2014-11-20 |
| 1538574736 | Samira Rahmanian | Internal Medicine | 11234 Anderson St # Mc1590, Loma Linda, CA 92354-2804 | 2014-06-25 |
| 1861805939 | Hieu Duc Do | Internal Medicine | 11234 Anderson St # Mc1516, Loma Linda, CA 92354 | 2014-06-06 |
| 1336568971 | Yas Casey | Internal Medicine | 11201 Benton St # 2e37a, Loma Linda, CA 92357-2153 | 2014-04-10 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92350 |
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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.