JAY H. KIM (NPI# 1811984123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811984123 |
| Entity Type | Individual |
| Full Name | JAY H. KIM |
| Credential | M.D. |
| Practice Address |
2141 N Harbor Blvd Ste 25000 Fullerton CA 92835-3830 |
| Practice Telephone | 7146268650 |
| Practice Fax Number | 7146268689 |
| Mailing Telephone | 7146268650 |
| Mailing Fax Number | 7146268689 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A532285 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
A53285 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356837496 | Jay Kim | Nurse Practitioner | 87 N Wilson Ave Apt 1, Pasadena, CA 91106-2318 | 2018-07-02 |
| 1073948188 | Jay Kim | Acupuncturist | 14511 Franklin Ave # 260, Tustin, CA 92780-7203 | 2013-09-09 |
| 1508130840 | Jay Kim | Pharmacist | 5562 Philadelphia St Ste 110, Chino, CA 91710 | 2012-03-05 |
| 1891920575 | Jay D Kim | Oral & Maxillofacial Surgery | 119 W 57th St Ste 914, New York, NY 10019-2401 | 2009-05-25 |
| 1538312244 | Jay Chan Kim | General Acute Care Hospital | 1014 N Kingsbury St, Chicago, IL 60610-3770 | 2008-10-24 |
| 1750382909 | Jay H Kim | Urology | 205 Frasier St, Durham, NC 27704-2125 | 2005-08-09 |
| 1386252567 | Jay Byung Wook Kim | Student in an Organized Health Care Education/Training Program | 9990 County Farm Rd, Riverside, CA 92503-3542 | 2020-07-14 |
| 1164947339 | Jay Y Kim | Pharmacist | 620 Lafayette Rd, Hampton, NH 03842-3348 | 2017-08-09 |
| 1720517659 | Jay Hyun Kim | Student in an Organized Health Care Education/Training Program | 1500 Fifth Ave Fl 1, Mckeesport, PA 15132-2422 | 2017-06-05 |
| 1073962999 | Jay Kim | Community Health Worker | 12900 Garden Grove Blvd Ste B225, Garden Grove, CA 92843-2040 | 2016-06-10 |
| Street Address |
2141 N HARBOR BLVD STE 25000 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285620658 | David A Ruckman | Internal Medicine | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | 2005-09-21 |
| 1235767112 | Helen B Kwak | Nurse Practitioner | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | 2020-03-27 |
| 1891269502 | Tammy Eileen Lo | Physician Assistant | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | 2019-01-15 |
| 1508334632 | Erika Duarte | Social Worker | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | 2018-11-07 |
| 1760742001 | Julie Hyojung Lyou | Internal Medicine | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835 | 2012-05-21 |
| 1063779171 | Lawrence Kim | Internal Medicine | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | 2012-04-13 |
| 1487946364 | Shivani Kamalesh Patel | Internal Medicine | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | 2011-05-10 |
| 1447566781 | Chizomam Margaret Abanobi | Registered Nurse | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | 2010-08-24 |
| 1306015607 | Amy Alias | Internal Medicine | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | 2008-02-21 |
| 1164566311 | Dana Doan Ai Tran | Internal Medicine | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366442998 | Andrew Concoff | Internal Medicine | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2005-07-26 |
| 1487946364 | Shivani Kamalesh Patel | Internal Medicine | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | 2011-05-10 |
| 1760773014 | Michelle T Ngo | Internal Medicine | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 | 2011-04-20 |
| 1457437626 | Shirley W Pang | Internal Medicine | 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | 2006-10-31 |
| 1922094028 | Michael Sugarman | Internal Medicine | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804572 | Shariar Cohen Md Corp | Internal Medicine | 566 Saint Charles Dr, Thousand Oaks, CA 91360-3953 | 2020-09-01 |
| 1538799309 | Ajay Nirula | Internal Medicine | 5171 Meadows Del Mar, San Diego, CA 92130-4855 | 2020-01-21 |
| 1659842532 | Harry Edward Gruber | Internal Medicine | 4511 Rancho Del Mar Trl, San Diego, CA 92130-5207 | 2018-12-17 |
| 1124596556 | Arthritis and Rheumatic Care Clinic, Inc. | Internal Medicine | 1401 N Palm Canyon Dr Ste 103, Palm Springs, CA 92262-4434 | 2018-11-03 |
| 1235629338 | Carewell Medical Group Inc | Internal Medicine | 18419 Us Highway 18 Ste 1, Apple Valley, CA 92307-2333 | 2018-05-14 |
| 1336641992 | Prohealth Partners A Medical Group | Internal Medicine | 26700 Towne Centre Dr Ste 165, Foothill Ranch, CA 92610-2845 | 2018-02-28 |
| 1699291765 | Peter James Lloyd Md Inc | Internal Medicine | 2251 Montgomery Ave, Cardiff, CA 92007-1913 | 2017-08-20 |
| 1285155010 | David Alexandre Chetrit | Internal Medicine | 757 Westwood Plaza, Rheumatology, Los Angeles, CA 90095-6130 | 2017-07-01 |
| 1447791181 | Ross Stephen Howard | Internal Medicine | 936 Harbor View Dr, San Diego, CA 92106-2438 | 2017-03-14 |
| 1295286714 | Tharaknath Rao | Internal Medicine | 14767 Calle Carla, Rancho Santa Fe, CA 92067 | 2016-10-19 |
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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.