DR. SAEKYU ROBERT KIM


Address: 475 Bruce St, Yreka, CA 96097-3474
Phone: 5308416313

DR. SAEKYU ROBERT KIM (NPI# 1629033535) 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) 1629033535
Entity Type Individual
Full Name DR. SAEKYU ROBERT KIM
Credential M.D.
Practice Address 475 Bruce St
Yreka
CA 96097-3474
Mailing Address 444 Bruce St
Yreka
CA 96097-3450
Practice Telephone 5308416313
Practice Fax Number 5308416334
Mailing Telephone 5308416313
Mailing Fax Number 5308416334
Enumeration Date 2006-04-20
Last Update Date 2009-11-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology MD00042435 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1118645 05
CA 1629033535 05
CA PTAN MEDICARE CG054Z 01

Office Location

Street Address 475 BRUCE ST
City YREKA
State CA
Zip Code 96097-3474

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669476578 Christal J Duncan Obstetrics & Gynecology 475 Bruce St, Yreka, CA 96097-3474 2005-06-08
1174092944 Teresa Jean Schuyler Nurse Practitioner 475 Bruce St, Yreka, CA 96097-3474 2018-11-21
1912481284 Amber Bernelis Physician Assistant 475 Bruce St, Yreka, CA 96097-3474 2018-09-21
1205314648 Seamus Mannix Dentist 475 Bruce St, Yreka, CA 96097-3474 2018-07-28
1447768718 Alex Wade Childs Physician Assistant 475 Bruce St, Yreka, CA 96097-3474 2018-01-19
1124484225 Siskiyou Hospital Inc Dental Hygienist 475 Bruce St, Yreka, CA 96097-3474 2016-01-06
1093197790 Charity Ann Bradley Registered Nurse 475 Bruce St, Yreka, CA 96097-3474 2015-06-18
1629459607 Jon Hopkins Podiatrist 475 Bruce St, Yreka, CA 96097-3474 2015-06-15
1669897542 Christa Lynn Fournier Nurse Practitioner 475 Bruce St, Yreka, CA 96097-3474 2014-02-28
1902233349 Monica Kay Mais Nurse Practitioner 475 Bruce St, Yreka, CA 96097-3474 2013-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376830653 Paul William Willis Pharmacist 807 S. Main St., Yreka, CA 96097 2011-07-07
1578883864 Ginger A Bert Chiropractor 106 Ranch Ln Ste A, Yreka, CA 96097 2010-06-09
1669796611 Rebekah Joyce Retterath Dietitian, Registered 444 Bruce Street, Yreka, CA 96097 2010-03-19
1780849679 Donna Jean May Marriage & Family Therapist 625 Butte Street, Yreka, CA 96097 2008-07-21
1114121589 Loren Cronk Marriage & Family Therapist 208 4th Street, Yreka, CA 96097 2007-06-12
1093928863 Kristin Rene Kopplin Psychologist 1515 South Oregon Street, Suite A, Yreka, CA 96097 2007-05-08
1073735379 Rivkah Lynn Barmore Social Worker 1515 S Oregon, Suite A, Yreka, CA 96097 2007-05-03
1649492091 Randy Terry Murieen Social Worker 1515 S Oregon Street, Suite A, Yreka, CA 96097 2007-05-03
1265654537 Roy Victor Hall Jr. Social Worker 1515 South Oregon St, Suite A, Yreka, CA 96097 2007-05-03
1578785614 Meadowlark Assisted Living Facility 351 Bruce St, Yreka, CA 96097 2007-05-02
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700028560 Siskiyou Professional Medical Service, Prof. Corp. Urology 6736 Quail Run Road, Yreka, CA 96097-3540 2009-03-25
1124194584 Robert A Carter Urology 200 North Main Street, Yreka, CA 96097 2006-11-28
1326016692 Robert A Carter Md Inc Urology 200 No Main Street, Yreka, CA 96097 2006-03-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265033096 Urology Surgical Partners Urology 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 2020-11-06
1891301487 Fadl Hamouche Urology 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 2020-09-18
1083233902 Elite Medical Group PC Urology 2083 Compton Ave Ste 202, Corona, CA 92881-3416 2020-04-10
1659919660 Thrive Medical, Inc. Urology 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 2019-12-20
1457997645 David G Song Md Inc Urology 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 2019-11-21
1699316273 Golden Gate Urology Inc Urology 929 Clay St Ste 505, San Francisco, CA 94108-1500 2019-10-04
1598318461 Khoddami Medical Group Inc Urology 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 2019-07-19
1942760293 Adventist Health Physicians Network Urology 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 2019-03-22
1699233361 Orange Coast Medical, A Medical Corporation Urology 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 2019-03-12
1891268389 John Joseph Granato Jr. Urology 333 Cumberland Rd, Glendale, CA 91202-1256 2019-01-07
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Competitor

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City YREKA
Zip Code 96097

Improve Information

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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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