DR. JOHNNY KIM (NPI# 1568676252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568676252 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY KIM |
| Credential | M.D. |
| Practice Address |
6650 Alton Pkwy Mob 2, Division of Pulmonology Irvine CA 92618-3734 |
| Mailing Address |
28 Donovan Irvine CA 92620-3882 |
| Practice Telephone | 9499322594 |
| Mailing Telephone | 9174886500 |
| Mailing Fax Number | 8885351180 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A115126 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A115126 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A115126 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659803617 | Johnny M Kim | Student in an Organized Health Care Education/Training Program | 6772 Park Ave, Garden Grove, CA 92845-2928 | 2017-03-29 |
| 1528155819 | Johnny K Kim | Dentist | 906 N Vermont Ave, Los Angeles, CA 90029-3519 | 2006-10-06 |
| 1023097375 | Johnny Jongsun Kim | Personal Emergency Response Attendant | 117 Lincoln St, Framingham, MA 01702-6358 | 2006-01-14 |
| 1932720513 | Johnny Junhong Kim | Student in an Organized Health Care Education/Training Program | 4422 3rd Ave, Bronx, NY 10457-2594 | 2020-05-05 |
| 1780128637 | Johnny Kim | Pharmacist | 55 Water St, New York, NY 10041-0004 | 2016-12-12 |
| 1568913820 | Johnny Kim | Student in an Organized Health Care Education/Training Program | 204 Hampton Drive, Venice, CA 90291 | 2016-10-20 |
| Street Address |
6650 ALTON PKWY MOB 2, DIVISION OF PULMONOLOGY |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871558627 | Ray J Lee | General Practice | 6650 Alton Pkwy, Irvine, CA 92618-3734 | 2006-04-17 |
| 1770122665 | Jasmine Kristy Crouzet | Pharmacist | 6650 Alton Pkwy, Irvine, CA 92618-3734 | 2019-12-26 |
| 1992272306 | Raymond Cho | Pharmacist | 6650 Alton Pkwy, Irvine, CA 92618-3734 | 2018-10-24 |
| 1619400223 | Dayle Aldridge | Registered Nurse | 6650 Alton Pkwy, Health Education Department, 5th Floor, Mob#2, Irvine, CA 92618-3734 | 2017-04-10 |
| 1982142816 | Kenneth Mclain | Pharmacist | 6650 Alton Pkwy, Irvine, CA 92618-3734 | 2017-02-12 |
| 1568900488 | Tram Luong-pham | Pharmacist | 6650 Alton Pkwy, 1st Floor Outpatient Pharmacy, Irvine, CA 92618-3734 | 2017-02-11 |
| 1528506409 | Ivy Jazel Nucum | Pharmacist | 6650 Alton Pkwy, Irvine, CA 92618-3734 | 2017-02-10 |
| 1780135145 | Kam-lin Fansler | Advanced Practice Midwife | 6650 Alton Pkwy, Irvine, CA 92618-3734 | 2016-10-20 |
| 1447639745 | Kaiser Foundation Health Plan Inc | Pharmacy | 6650 Alton Pkwy, Bldg 2 Fl 4 Rm 4262, Irvine, CA 92618-3734 | 2015-05-20 |
| 1194169177 | Tiffany Linn Chaves | Dietitian, Registered | 6650 Alton Pkwy, Irvine, CA 92618-3734 | 2013-04-22 |
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| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
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| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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. |
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| 1154382273 | Willy Chua Md Pa | Internal Medicine | 89 Painted Trellis, Irvine, CA 92620-2306 | 2006-03-29 |
| 1750512489 | Jonathan Ahdoot Md Inc | Internal Medicine | 15775 Laguna Canyon Rd, Suite 290, Irvine, CA 92618-3145 | 2009-07-29 |
| 1568559102 | Jonathan J Ahdoot | Internal Medicine | 15775 Laguna Canyon Rd, Suite 290, Irvine, CA 92618-3145 | 2006-10-06 |
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| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
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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.