MS. JESSICA S KIM (NPI# 1558656843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558656843 |
| Entity Type | Individual |
| Full Name | MS. JESSICA S KIM |
| Credential | D.D.S. |
| Practice Address |
1111 Sixth Ave. #510 San Diego CA 92101 |
| Practice Telephone | 6196960510 |
| Practice Fax Number | 6196960786 |
| Mailing Telephone | 6196960510 |
| Mailing Fax Number | 6196960786 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2016-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
58855 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599360 | Jessica Kim | Counselor | 30 Eastbrook Rd Ste 303, Dedham, MA 02026-2084 | 2020-08-17 |
| 1558848127 | Jessica Kim | Chiropractor | 415 N Camden Dr Ste 204, Beverly Hills, CA 90210-4438 | 2018-07-25 |
| 1730691114 | Jessica Kim | Pharmacist | 1145 E Elmwood Ave, Burbank, CA 91501-1665 | 2017-10-25 |
| 1487053328 | Jessica Kim | Nurse Practitioner | 1 Clarks Hl Ste 305, Framingham, MA 01702-8172 | 2014-08-16 |
| 1578972741 | Jessica Kim | Pharmacist | 1864 Markley St, Norristown, PA 19401-2904 | 2014-08-12 |
| 1467879767 | Jessica Kim | Dietitian, Registered | 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 | 2014-03-25 |
| 1972878973 | Jessica Lee Kim | Occupational Therapist | 12774 Jolette Ave, Granada Hills, CA 91344-1431 | 2012-03-09 |
| 1902195811 | Jessica Kim | Student in an Organized Health Care Education/Training Program | 28 Centre Drive, Mailstop 416sa1, Milton, VT 05468 | 2011-03-31 |
| 1952901639 | Jessica Kim | Assistant Behavior Analyst | 1063 Mcgaw Ave, Irvine, CA 92614-5505 | 2020-10-30 |
| 1225656432 | Jessica Stephanie Kim | Registered Nurse | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-07-14 |
| Street Address |
1111 SIXTH AVE. #510 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
| Find all providers in SAN DIEGO | ||||
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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.