MISS MIN KYUNG KIM (NPI# 1841697513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841697513 |
| Entity Type | Individual |
| Full Name | MISS MIN KYUNG KIM |
| Credential | PA-C |
| Practice Address |
565 N Mount Vernon Ave San Bernardino CA 92411-2661 |
| Mailing Address |
685 Carnegie Dr Ste 230 San Bernardino CA 92408-3502 |
| Practice Telephone | 9098849091 |
| Mailing Telephone | 9098900407 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2016-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 52129 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528449873 | Min Soo Kim | Dentist | 2701 N Dirksen Pkwy, Springfield, IL 62702-1407 | 2015-06-12 |
| 1437490505 | Min Kim | Student in an Organized Health Care Education/Training Program | 1813 Spruce St, Apt 2f, Philadelphia, PA 19103-5806 | 2013-03-14 |
| 1376894436 | Min Kim | Pharmacist | 5005n Piedras St, 4008, El Paso, TX 79912 | 2012-09-28 |
| 1497028674 | Min Jung Kim | Chiropractor | 907 Aylesbury Dr, Allen, TX 75002-5745 | 2012-02-17 |
| 1629380936 | Min S Kim | Dentist | 7250 S Durango Dr Ste 110, Las Vegas, NV 89113-2221 | 2010-07-02 |
| 1669600896 | Min Kyu Kim | Dentist | 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 | 2009-06-25 |
| 1750566857 | Min Jeong Kim | Optometrist | 733 Manhattan Ave, Brooklyn, NY 11222-2944 | 2008-01-08 |
| 1912107194 | Min C. Kim | Dentist | 4270 Gorgas Circle, Fort Sam Houston, TX 78234-2639 | 2007-07-25 |
| 1861609240 | Min Kyung Kim | Acupuncturist | 1418 S Euclid St, Fullerton, CA 92832-3135 | 2007-05-17 |
| 1295833192 | Min Cheol Kim | Ophthalmology | 14155 North 83rd Avenue, Suite 1103, Peoria, AZ 85381 | 2006-09-21 |
| Street Address |
565 N MOUNT VERNON AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285650028 | Margarita Carpio | Physician Assistant | 565 N Mount Vernon Ave, San Bernardino, CA 92411-2661 | 2006-07-14 |
| 1386093359 | Richard Anonas Arcelao | Family Medicine | 565 N Mount Vernon Ave, San Bernardino, CA 92411 | 2016-06-09 |
| 1023465747 | Tressa Kathleen Norton-rosales | Registered Nurse | 565 N Mount Vernon Ave, San Bernardino, CA 92411-2661 | 2016-05-23 |
| 1346619731 | Hieu Nguyen | Physician Assistant | 565 N Mount Vernon Ave, San Bernardino, CA 92411-2661 | 2015-09-16 |
| 1619391182 | Lisa Rogers | Physician Assistant | 565 N Mount Vernon Ave, San Bernardino, CA 92411-2661 | 2014-02-05 |
| 1902162043 | Frederick Vinton | Physician Assistant | 565 N Mount Vernon Ave, San Bernardino, CA 92411-2661 | 2012-04-03 |
| 1922318781 | Eric Alonso Esparza | Physician Assistant | 565 N Mount Vernon Ave, San Bernardino, CA 92411-2661 | 2010-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1265828370 | Tammy Darby | Physician Assistant | 1918 Business Center Dr Ste 110, San Bernardino, CA 92408-3471 | 2015-04-15 |
| 1275971079 | Brian K Jarman | Physician Assistant | 4905 N Berkeley Ave, San Bernardino, CA 92407-3015 | 2013-06-13 |
| 1437402765 | John Finley | Physician Assistant | 4378 Sepulveda Ave, Apt 11, San Bernardino, CA 92404-1274 | 2012-10-24 |
| 1275813370 | Daniel Kim | Physician Assistant | 1505 W. 17th St, San Bernardino, CA 92411-2661 | 2011-08-19 |
| 1417259268 | Elda Ilia | Physician Assistant | 1800 Medical Center Dr Ste 99, San Bernardino, CA 92411-1232 | 2010-11-30 |
| 1336396548 | Brenitta Gilliam-udo | Physician Assistant | 351 N Mountain View Ave, San Bernardino, CA 92415-1018 | 2008-08-20 |
| 1285806794 | Miguel Trujillo | Physician Assistant | 685 Carnegie Dr Ste 230, San Bernardino, CA 92408-3583 | 2008-03-25 |
| 1629146881 | Lorelie Tolentino | Physician Assistant | 1873 Commercenter West, San Bernardino, CA 92408 | 2006-12-04 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
Please comment or provide details below to improve the information on MISS MIN KYUNG KIM.
| 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.