Jae K Kim (NPI# 1083642839, PAC ID# 1355371550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1083642839 |
| PAC ID by PECOS | 1355371550 |
| Professional Enrollment ID | I20050817000691 |
| Full Name | Jae K Kim |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
101 E Valencia Mesa Dr Fullerton CA 92835-3875 |
| Phone Number | 7144494800 |
| Gender | M |
| Credential | MD |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050168 | ST JUDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 | 7144494800 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
101 E VALENCIA MESA DR |
| City | FULLERTON |
| State | CA |
| Zip | 92835-3875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiho Woo | Internal Medicine | St Joseph Heritage Healthcare | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 |
| Pius Jin Kim | Internal Medicine | St Joseph Heritage Healthcare | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 |
| Hao Q Ngo | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| John B Maccarthy | Anesthesiology | Allied Anesthesia Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Soheil Nafeei | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Brian D Fong | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Jim Nguyen | Anesthesiology | Allied Anesthesia Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Phillip Unger | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Scott A Wang | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Bradley A Jackson | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Dedes | Interventional Pain Management | 295 Imperial Hwy, Suite 100, Fullerton, CA 92835-1020 | |
| Alvaro O Liceaga | Interventional Pain Management | 295 Imperial Hwy 100, Fullerton, CA 92835-1020 | |
| Sara Said | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Stella R Vargas | Physical Therapy | 373 Imperial Hwy, Fullerton, CA 92835-1040 | |
| Johnson L Moon | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Priscilla P Armstrong | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Margaret M Slaven | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Manpreet Kaur Multani | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Eileen S Kang | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Kiran Bath | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Find all physicians in zip 92835 | |||
| City | FULLERTON |
| Zip Code | 92835 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FULLERTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jae K Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.