KELLEY C KIM


Address: 2211 Moorpark Ave, Suite 218, San Jose, CA 95128-2654
Phone: 4089982325

KELLEY C KIM (NPI# 1588985139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588985139
Entity Type Individual
Full Name KELLEY C KIM
Credential RD
Practice Address 2211 Moorpark Ave
Suite 218
San Jose
CA 95128-2654
Mailing Address 72 N Buena Vista Ave
San Jose
CA 95126-2824
Practice Telephone 4089982325
Practice Fax Number 4089982022
Mailing Telephone 4089982325
Mailing Fax Number 4089982022
Enumeration Date 2010-06-17
Last Update Date 2010-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 963781 CA Dietary & Nutritional Service Providers

Other Providers KELLEY KIM

NPI Name Taxonomy Address Enumeration
1104102250 Kelley Kim Social Worker 7212 Orangethorpe Ave Ste 9, Buena Park, CA 90621-4668 2011-11-02

Office Location

Street Address 2211 MOORPARK AVE
SUITE 218
City SAN JOSE
State CA
Zip Code 95128-2654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841283850 Center for Independent Rehabilitative Services, Inc. Prosthetic/Orthotic Supplier 2211 Moorpark Ave, Ste. 230, San Jose, CA 95128-2654 2005-08-24
1306291414 Wellness Chiropractic Center Clinic/Center 2211 Moorpark Ave, Suite 280, San Jose, CA 95128-2654 2016-04-26
1265812309 Ki Tae Kim Chiropractic Inc. Clinic/Center 2211 Moorpark Ave, Suite 280, San Jose, CA 95128-2654 2015-06-04
1326432402 Sewon Kim Acupuncturist 2211 Moorpark Ave, Suite 250, San Jose, CA 95128-2654 2015-03-26
1164780086 Desiree Mehrabian Registered Nurse 2211 Moorpark Ave, Suite 218, San Jose, CA 95128-2654 2012-04-28
1548527310 Ruth Anne Mitchell Registered Nurse 2211 Moorpark Ave, Suite 218, San Jose, CA 95128-2654 2012-04-18
1275899486 Victor Cheng Acupuncturist 2211 Moorpark Ave, Suite 250, San Jose, CA 95128-2654 2012-04-02
1184904518 Medpixels Medical Services, PC Clinic/Center 2211 Moorpark Ave, Suite 290, San Jose, CA 95128-2663 2011-08-17
1912224221 Ron Rosen, M.d., Inc Interpreter 2211 Moorpark Ave, Suite 220, San Jose, CA 95128-2654 2010-04-26
1477693513 Pet Imaging of San Jose, LLC Clinic/Center 2211 Moorpark Ave, Suite 220, San Jose, CA 95128-2654 2007-02-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1982244166 Cindy Pantoja Escobar Behavior Technician 100 O'connor Drive, Suites 21, San Jose, CA 95128 2020-01-15
1104460591 Katherine Alexandra Misogas Pharmacist 777 Turner Dr # 330, San Jose, CA 95128 2019-10-29
1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
1003466434 Dong Mi Cha Pharmacist 777 Turner Dr Ste 330, San Jose, CA 95128 2019-09-17
1114571759 Sleep Well Acupuncture, Inc Acupuncturist 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 2019-08-01
1083277677 Wellocity, Inc Health Educator 334 Santana Row, 318, San Jose, CA 95128 2019-04-18
1518428812 Alexander Diaz Radiology 75 South Bascom Ave, San Jose, CA 95128 2019-03-28
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255957056 Jingze Tian Dietitian, Registered 200 Jose Figueres Ave Ste 325, San Jose, CA 95116-1592 2020-06-18
1265055370 Zero Infinity, Inc Dietitian, Registered 1835 Camino Leonor, San Jose, CA 95131-1781 2020-05-22
1881215549 Allen Twu Dietitian, Registered 3195 Mabury Rd, San Jose, CA 95127-1020 2020-05-04
1114570876 Katherine Berger Dietitian, Registered 791 Delaware Ave Apt 2, San Jose, CA 95123-5425 2019-07-22
1982164786 Elizabeth Ann Ruvalcaba Dietitian, Registered 3110 Rubino Dr Apt 210, San Jose, CA 95125-6375 2019-03-20
1801353693 Mary B Hall Dietitian, Registered 507 Brooks Ave, San Jose, CA 95125-1620 2019-02-27
1215406327 Angela Hays Dietitian, Registered 1843 Comstock Ln, San Jose, CA 95124-1707 2018-11-19
1851871073 Ruben Jordan Vargas IIi Dietitian, Registered 602 E Santa Clara St Ste 130, San Jose, CA 95112-1910 2018-08-16
1073009502 Huong Lien Nguyen Dietitian, Registered 1023 Bellingham Dr, San Jose, CA 95121-2311 2018-07-09
1356847156 Tugba Bayrak Dietitian, Registered 489 Waskow Dr, San Jose, CA 95123-4956 2018-04-02
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Competitor

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City SAN JOSE
Zip Code 95128

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Dataset Information

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.

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