DR. BRIAN KAP-SOO KIM (NPI# 1871532051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871532051 |
Entity Type | Individual |
Full Name | DR. BRIAN KAP-SOO KIM |
Credential | M.D. |
Practice Address |
2800 L Street Suite 300 Sacramento CA 95816-7098 |
Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
Practice Telephone | 9164533300 |
Practice Fax Number | 9164533313 |
Mailing Telephone | 8004700071 |
Enumeration Date | 2006-06-05 |
Last Update Date | 2015-07-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | G88900 | CA | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | MD00044497 | WA | Allopathic & Osteopathic Physicians |
N | 207RH0000X |
Internal Medicine Specialization: Hematology |
MD00044497 | WA | Allopathic & Osteopathic Physicians |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
G88900 | CA | Allopathic & Osteopathic Physicians |
N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD00044497 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RAILROAD MEDICARE | P00185603 | 01 | |
REGENCE BLUE SHIELD | 5339KI | 01 | |
AETNA | 3733057 | 01 | |
WA | LABOR & INDUSTRIES | 193335 | 01 |
AETNA | 5596153 | 01 | |
WA | 8416448 | 05 | |
DEA | BK7995028 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407487440 | Brian Kim | Student in an Organized Health Care Education/Training Program | 340 E 23rd St Apt 7c, New York, NY 10010-4748 | 2020-01-29 |
1407284714 | Brian Woogi Kim | Physical Therapist | 14153 Robert Paris Ct Ste A, Chantilly, VA 20151-4225 | 2013-10-23 |
1902241573 | Brian A Kim | Anesthesiology | 7115 Greenback Ln Fl 1, Citrus Heights, CA 95621-6133 | 2013-05-08 |
1699022111 | Brian Byoungsoo Kim | Physical Therapist | 1962 Roanoke Ave, Tustin, CA 92780-6635 | 2012-08-15 |
1437448081 | Brian J Kim | Audiologist | 1107 College Ave Ste 2, Quincy, IL 62301-2600 | 2011-04-05 |
1588804611 | Brian T Kim | Dentist | 7501 Hospital Dr Ste 202, Sacramento, CA 95823-5405 | 2009-03-02 |
1598989063 | Brian Kim | Dentist | 25211 Paseo De Alicia Ste 200, Laguna Hills, CA 92653-4614 | 2007-04-13 |
1295868636 | Brian Songsu Kim | Dentist | 1406 Jefferson St, Delano, CA 93215-2222 | 2007-03-14 |
1467521443 | Brian Chong-han Kim | Dentist | 222 N G St, #3, San Bernardino, CA 92410-3217 | 2006-11-06 |
1346299831 | Brian Won-sik Kim | Internal Medicine | 1725 W Harrison St Ste 250, Chicago, IL 60612-3861 | 2006-05-10 |
Street Address |
2800 L STREET SUITE 300 |
City | SACRAMENTO |
State | CA |
Zip Code | 95816-7098 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386648061 | Daniel Alan Ichel | Radiology | 2800 L Street, Suite 610, Sacramento, CA 95816-5616 | 2005-06-09 |
1871850925 | Catherine A Rolf | Registered Nurse | 2800 L Street, Suite 200, Sacramento, CA 95615-5616 | 2012-04-13 |
1831462365 | Alifeya Murtuza Attarwala | Internal Medicine | 2800 L Street, Sixth Floor, Sacramento, CA 95816 | 2012-02-14 |
1770747909 | Sun Jon Young | Radiology | 2800 L Street, Suite 610, Sacramento, CA 95816-5616 | 2008-07-16 |
1760665475 | David P Chesak | Psychiatry & Neurology | 2800 L Street, #500, Sacramento, CA 95816 | 2007-12-17 |
1225229008 | Sahar Farzin | Radiology | 2800 L Street, Suite 610, Sacramento, CA 95816-5616 | 2007-08-06 |
1588753750 | Julie Anne Lee | Radiology | 2800 L Street, Suite 610, Sacramento, CA 95816-5616 | 2006-10-12 |
1215036041 | Leonard Elroy Crawford Jr. | Urology | 2800 L Street, Suite 200, Sacramento, CA 95816 | 2006-09-21 |
1245213529 | Christine Pey-ying Chao | Radiology | 2800 L Street, Suite 610, Sacramento, CA 95816 | 2005-11-21 |
1629077946 | Leo Carpenter | Physician Assistant | 2800 L Street, #610, Sacramento, CA 95816-5126 | 2005-07-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
Find all providers in zip 95816 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831374644 | Adam Giermasz | Internal Medicine | 2000 Stockton Blvd, Suite 202, Sacramento, CA 95817-2227 | 2007-12-31 |
1548454713 | Uc Davis Hemophilia Program | Internal Medicine | 2360 Stockton Blvd Ste 1100, Sacramento, CA 95817-2283 | 2007-08-30 |
1588744072 | Tianhong Li | Internal Medicine | 2278 45th Street, Sacramento, CA 95817-2229 | 2006-10-17 |
1528051679 | Regents of The University of Ca | Internal Medicine | 1508 Alhambra Blvd, Sacramento, CA 95816-6510 | 2005-08-24 |
1164043709 | Pat Carinugan | Internal Medicine | 4501 X St Fl 2, Sacramento, CA 95817-2229 | 2020-05-06 |
1568016897 | Ashley Yuan | Internal Medicine | 4501 X St Ste 3016, Sacramento, CA 95817-2229 | 2019-07-25 |
1780167643 | Megan Ann Yankee | Internal Medicine | 4501 X Street, Suite 3016, Sacramento, CA 95817-2229 | 2018-09-07 |
1316471980 | Tamer Adel Othman | Internal Medicine | 4501 X St Ste 3016, Sacramento, CA 95817-2229 | 2017-04-20 |
1134513187 | Tatini Datta | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-03-26 |
1992199558 | Matthew Tenold | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-03-22 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95816 |
Please comment or provide details below to improve the information on DR. BRIAN KAP-SOO 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.