Charleen Lee Kim (NPI# 1831378850, PAC ID# 2062559040) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1831378850 |
| PAC ID by PECOS | 2062559040 |
| Professional Enrollment ID | I20091023000227 |
| Full Name | Charleen Lee Kim |
| Organization Legal Name | DIABLO VALLEY ONCOLOGY AND HEMATOLOGY MEDICAL GROUP, INC. |
| Address |
130 La Casa Via Suite 211 Walnut Creek CA 94598-3046 |
| Phone Number | 9252781845 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1557255189 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050180 | JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS |
| 050276 | CONTRA COSTA REGIONAL MEDICAL CENTER |
| 050496 | JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 130 La Casa Via, Suite 211, Walnut Creek, CA 94598-3046 | 9252781845 | DIABLO VALLEY ONCOLOGY AND HEMATOLOGY MEDICAL GROUP, INC. |
| 1601 Ygnacio Valley Rd, Suite 100, Walnut Creek, CA 94598-3122 | 9259393000 | JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE |
| 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 | JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | DIABLO VALLEY ONCOLOGY AND HEMATOLOGY MEDICAL GROUP, INC. |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Sirott | Hematology/oncology | Diablo Valley Oncology and Hematology Medical Group, Inc. | 400 Taylor Blvd, Suite 202, Pleasant Hill, CA 94523-2163 |
| Parminder S Sethi | Urology | Diablo Valley Oncology and Hematology Medical Group, Inc. | 5201 Norris Canyon Rd, Suite 140, San Ramon, CA 94583-5410 |
| Michael S Baker | General Surgery | Diablo Valley Oncology and Hematology Medical Group, Inc. | 130 La Casa Via, Suite 211, Walnut Creek, CA 94598-3046 |
| Jeffrey Rotwein Zweig | Hematology/oncology | Diablo Valley Oncology and Hematology Medical Group, Inc. | 400 Taylor Blvd, Suite 202, Pleasant Hill, CA 94523-2163 |
| Kara L Riley-paull | General Surgery | Diablo Valley Oncology and Hematology Medical Group, Inc. | 2700 Grant St, Suite 310, Concord, CA 94520-2279 |
| Jeremy I Lieb | Urology | Diablo Valley Oncology and Hematology Medical Group, Inc. | 2222 E St, Suite 250, Concord, CA 94520-2096 |
| James L Rembert | Radiation Oncology | Diablo Valley Oncology and Hematology Medical Group, Inc. | 400 Taylor Blvd, Suite 101, Pleasant Hill, CA 94523-2114 |
| Ramon Berguer | General Surgery | Diablo Valley Oncology and Hematology Medical Group, Inc. | 2700 Grant St, Suite 310, Concord, CA 94520-2279 |
| Monica Eigelberger | General Surgery | Diablo Valley Oncology and Hematology Medical Group, Inc. | 130 La Casa Via, Suite 211, Walnut Creek, CA 94598-3046 |
| Christine S Chung | Radiation Oncology | Diablo Valley Oncology and Hematology Medical Group, Inc. | 400 Taylor Blvd, Suite 101, Pleasant Hill, CA 94523-2114 |
| Street Address |
130 LA CASA VIA SUITE 211 |
| City | WALNUT CREEK |
| State | CA |
| Zip | 94598-3046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Baker | General Surgery | Diablo Valley Oncology and Hematology Medical Group, Inc. | 130 La Casa Via, Suite 211, Walnut Creek, CA 94598-3046 |
| Matthew A Piazza | Neurosurgery | Maxwell B Merkow M.d., A Medical Corporation | 130 La Casa Via, Suite 110, Walnut Creek, CA 94598-3047 |
| Leslie R. Delaney | Interventional Pain Management | 130 La Casa Via, Suite 209, Walnut Creek, CA 94598-3034 | |
| Monica Eigelberger | General Surgery | Diablo Valley Oncology and Hematology Medical Group, Inc. | 130 La Casa Via, Suite 211, Walnut Creek, CA 94598-3046 |
| Gerald L Tarder | Gastroenterology | 130 La Casa Via, Suite 107, Walnut Creek, CA 94598-3037 | |
| Anthony J Lopresti | Osteopathic Manipulative Medicine | 130 La Casa Via, Suite 110, Walnut Creek, CA 94598-3047 | |
| Nourollah B Ghorbani | Plastic and Reconstructive Surgery | 130 La Casa Via, Suite 102, Walnut Creek, CA 94598-3025 | |
| John W Scivally | Podiatry | 130 La Casa Via, Walnut Creek, CA 94598-3045 | |
| Elizabeth Huang | Otolaryngology | Diablo Valley Oncology and Hematology Medical Group, Inc. | 130 La Casa Via, Suite 211, Walnut Creek, CA 94598-3046 |
| Steven M Young | General Surgery | Diablo Valley Oncology and Hematology Medical Group, Inc. | 130 La Casa Via, Suite 211, Walnut Creek, CA 94598-3046 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Louis Rotman | Internal Medicine | 1535 Treat Blvd, Walnut Creek, CA 94598-1043 | |
| George Baloyra | Chiropractic | 1511 Treat Boulevard, Suite 100, Walnut Creek, CA 94598-1099 | |
| Maryam Noorivaziri | Chiropractic | 1511 Treat Blvd, Suite 100, Walnut Creek, CA 94598-1099 | |
| Tolulope D Ojeyemi | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Jason A Meierhenry | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Bianca Gonzalez | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Onome A Ogaga | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Martha J Eppenberger | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Joseph A Baratta | Chiropractic | 2815 Mitchell Dr, Suite 101, Walnut Creek, CA 94598-1622 | |
| Gertrudes A Hernandez | Psychologist, Clinical | 2815 Mitchell Dr, Suite 128, Walnut Creek, CA 94598-1622 | |
| Find all physicians in zip 94598 | |||
| City | WALNUT CREEK |
| Zip Code | 94598 |
| Specialty | GENERAL SURGERY |
| City + Specialty | WALNUT CREEK + GENERAL SURGERY |
Please comment or provide details below to improve the information on Charleen Lee 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.