AMY LYNN KIM (NPI# 1588790315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588790315 |
| Entity Type | Individual |
| Full Name | AMY LYNN KIM |
| Credential | MD |
| Practice Address |
100 W California Blvd Pasadena CA 91105-3010 |
| Mailing Address |
225 S Lake Ave Ste 535 Pasadena CA 91101-3010 |
| Practice Telephone | 6263975000 |
| Practice Fax Number | 6263972912 |
| Mailing Telephone | 6267959596 |
| Mailing Fax Number | 6267958247 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A102809 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 0A1028090 | 01 |
| CA | 1588790315 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083236574 | Amy Kim | Counselor | 1644 Blushing Ct, Rochester Hills, MI 48307-3584 | 2020-05-07 |
| 1942846050 | Amy Kim | Physician Assistant | 450 Sutter St Rm 1404, San Francisco, CA 94108-4003 | 2019-11-24 |
| 1982256525 | Amy Kim | Case Manager/Care Coordinator | 2101 Lake Ave, Baltimore, MD 21218-3129 | 2019-07-14 |
| 1679872899 | Amy Elizabeth Kim | Family Medicine | 9520 Ormsby Station Rd, Suite 175, Louisville, KY 40223-5017 | 2011-03-28 |
| 1427231216 | Amy K Kim | Internal Medicine | 720 Rutland Ave Ste 918, Baltimore, MD 21205-2109 | 2007-12-14 |
| 1578759254 | Amy Sung-ok Kim | Dentist | 619 Ridgewood Ct, Ann Arbor, MI 48103-6515 | 2007-09-17 |
| 1518594647 | Amy Jung In Kim | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-03-26 |
| 1619418035 | Amy Youyeun Kim | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Tpke, Nassau Health Care Corporation, East Meadow, NY 11554-1859 | 2017-03-17 |
| 1780033399 | Amy Kim | Dentist | 5 Federal St, Weymouth, MA 02188-2108 | 2016-06-06 |
| Street Address |
100 W CALIFORNIA BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023019460 | David Michael Ulick | Emergency Medicine | 100 W California Blvd, Department of Emergency Medicine, Pasadena, CA 91109 | 2005-08-09 |
| 1477150381 | Julia Yehudit Grinblat | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-10-04 |
| 1487262846 | Sharon Marie Sullivan | Licensed Psychiatric Technician | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-21 |
| 1073121786 | Chelsea Marie Lam | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-20 |
| 1629696182 | Claudette Bradley | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-10 |
| 1962020420 | Rachona Meza | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-10 |
| 1417573031 | Carolyn Krystal Kim | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| 1952927584 | Jessica Hsueh | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| 1396361929 | Raissa I Chua | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| 1073139630 | Khoa Nguyen | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710220777 | Aisan Raisdana | Anesthesiology | 2923 Bradley St Ste 120, Pasadena, CA 91107-1503 | 2013-03-28 |
| 1538404256 | Anesthesia Provider Group Inc | Anesthesiology | 224 N Fair Oaks Ave, Pasadena, CA 91103-3618 | 2012-12-06 |
| 1275863599 | Golden State Anesthesia Consultants, Inc. | Anesthesiology | 278 E Colorado Blvd, 1514, Pasadena, CA 91101-2253 | 2010-01-08 |
| 1124262787 | George Lowell Torres | Anesthesiology | 856 S Marengo Ave Apt 5, Pasadena, CA 91106-3620 | 2009-04-27 |
| 1568605608 | Albert Tran | Anesthesiology | 133 S. Los Robles Ave, 207, Pasadena, CA 91101 | 2009-04-17 |
| 1861635278 | Andrew Mynn Khine Aung | Anesthesiology | 519 W Claremont St, Pasadena, CA 91103-2419 | 2009-04-15 |
| 1184865404 | Edwin Mirzabeigi | Anesthesiology | 239 S Euclid Ave, Pasadena, CA 91101-2717 | 2009-03-17 |
| 1083863690 | Kevin K Li | Anesthesiology | 2555 E Colorado Blvd Ste 306, Pasadena, CA 91107-6648 | 2008-09-18 |
| 1831356708 | Gregory Alexander Kogan | Anesthesiology | 2923 Bradley St, Pasadena, CA 91107-1502 | 2008-05-19 |
| 1780710145 | Aakash V. Agarwala | Anesthesiology | 170 W Dayton St, Unit 1015, Pasadena, CA 91105-4541 | 2007-02-27 |
| Find all providers in PASADENA | ||||
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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.