BLOSSOM KIM (NPI# 1871137976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871137976 |
Entity Type | Individual |
Full Name | BLOSSOM KIM |
Practice Address |
9108 Trumbauer Way Elk Grove CA 95758-7434 |
Practice Telephone | 9162074257 |
Mailing Telephone | 9162074257 |
Enumeration Date | 2019-10-31 |
Last Update Date | 2019-10-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
9108 TRUMBAUER WAY |
City | ELK GROVE |
State | CA |
Zip Code | 95758-7434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
Find all providers in zip 95758 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700499126 | Sulema Arizbeth Cortes Estrada | Student in an Organized Health Care Education/Training Program | 9227 Wollaston Way, Elk Grove, CA 95624-3568 | 2020-08-25 |
1881217909 | Britney Ann Tennison | Student in an Organized Health Care Education/Training Program | 7712 Splendid Way, Elk Grove, CA 95758-9552 | 2020-05-22 |
1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
1285195982 | Gopal Kodumudi | Student in an Organized Health Care Education/Training Program | 9741 Mckenna Dr, Elk Grove, CA 95757-4027 | 2019-03-26 |
1861990079 | Alanna Crossman | Student in an Organized Health Care Education/Training Program | 8569 Mission Falls Cir, Elk Grove, CA 95624-3920 | 2018-01-23 |
1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
1174903918 | Elise Boykin | Student in an Organized Health Care Education/Training Program | 10362 Aldinger Way, Elk Grove, CA 95757-3508 | 2015-06-07 |
1508256868 | Daniel Aboubechara | Student in an Organized Health Care Education/Training Program | 8695 Bradshaw Rd, Elk Grove, CA 95624-9421 | 2015-01-26 |
1831591296 | Desirae Spignor | Student in an Organized Health Care Education/Training Program | 8515 Elk Grove Florin Rd Apt 327, Elk Grove, CA 95624-9558 | 2014-09-17 |
Find all providers in ELK GROVE |
Please comment or provide details below to improve the information on BLOSSOM 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.