DR. JERRY J KIM (NPI# 1912295510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912295510 |
| Entity Type | Individual |
| Full Name | DR. JERRY J KIM |
| Practice Address |
160 E Artesia St Ste 202 Pomona CA 91767-2900 |
| Mailing Address |
1000 W Carson St # 461 Torrance CA 90502-2004 |
| Practice Telephone | 9098651020 |
| Practice Fax Number | 9098651202 |
| Mailing Telephone | 3102222700 |
| Mailing Fax Number | 3105331841 |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A124130 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A124130 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750459988 | Jerry Chongmin Kim | Dentist | 8622 Lee Hwy Ste A, Fairfax, VA 22031-2148 | 2006-12-04 |
| 1083716856 | Jerry Hyun Kim | Anesthesiology | 1959 Ne Pacific St, C-212, Box 356340, Seattle, WA 98195-6340 | 2006-09-02 |
| 1548276777 | Jerry Byungho Kim | Emergency Medicine | 4101 Torrance Blvd, Emergency Department, Torrance, CA 90503-4607 | 2006-07-31 |
| 1164492708 | Jerry Y Kim | Anesthesiology | 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463-1256 | 2006-01-25 |
| Street Address |
160 E ARTESIA ST STE 202 |
| City | POMONA |
| State | CA |
| Zip Code | 91767-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891038055 | Gabriel Estremera | Surgery | 160 E Artesia St Ste 310, Pomona, CA 91767-2922 | 2013-04-05 |
| 1821326380 | Johanna V Basa | Surgery | 520 E Foothill Blvd Ste C, Pomona, CA 91767-1200 | 2009-11-21 |
| 1376792465 | Max F Rast | Surgery | 15 White Birch Drive, Pomona, NY 10970 | 2008-09-12 |
| 1962578120 | Vinod Kumar Garg | Surgery | 250 W Bonita Ave Ste 250, Pomona, CA 91767-1864 | 2006-11-28 |
| 1104927920 | Antonio Grafilo | Surgery | 252 West Father Keis Drive, Box 710, Pomona, NJ 08240-0000 | 2006-09-26 |
| 1154351849 | Sutherland Holdinsg Limited | Surgery | 2720 N Garey Ave, Pomona, CA 91767-1810 | 2006-07-05 |
| 1528036910 | Lori Lee Vanyo | Surgery | 250 W Bonita Ave Ste 100, Pomona, CA 91767 | 2006-03-10 |
| 1336753649 | Pomona Valley Specialty Surgery Center, LLC | Surgery | 1980 N Orange Grove Ave, Pomona, CA 91767-3008 | 2020-09-03 |
| 1699265850 | Lori L Vanyo Md Facs Inc | Surgery | 250 W Bonita Ave Ste 100, Pomona, CA 91767 | 2018-05-14 |
| 1902394737 | Kelker Management Corp | Surgery | 160 E Artesia St Ste 310, Pomona, CA 91767-2922 | 2018-04-26 |
| Find all providers in POMONA | ||||
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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.