Jerry J Kim (NPI# 1912295510, PAC ID# 2062630924) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1912295510 |
| PAC ID by PECOS | 2062630924 |
| Professional Enrollment ID | I20140906000016 |
| Full Name | Jerry J Kim |
| Organization Legal Name | CHAPARRAL MEDICAL GROUP INC |
| Address |
160 E Artesia St 220 Southern Calif Center for Neuroscience and Spine Pomona CA 91767-2921 |
| Phone Number | 9098651020 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6800709403 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050231 | POMONA VALLEY HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 160 E Artesia St, 220 Southern Calif Center for Neuroscience and Spine, Pomona, CA 91767-2921 | 9098651020 | CHAPARRAL MEDICAL GROUP INC |
| Organization Legal Name | CHAPARRAL MEDICAL GROUP INC |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gaurav Parikh | Cardiovascular Disease (cardiology) | Chaparral Medical Group Inc | 8330 Red Oak St, Suite 201, Rancho Cucamonga, CA 91730-0603 |
| Guangqiang Gao | Cardiac Surgery | Chaparral Medical Group Inc | 9190 Haven Ave, Rancho Cucamonga, CA 91730-5431 |
| Nadir A Eltahir | Pulmonary Disease | Chaparral Medical Group Inc | 1940 N Orange Grove Ave, Pomona, CA 91767-3002 |
| Rita K Pradhan | Endocrinology | Chaparral Medical Group Inc | 1904 N Orange Grove Ave, Pomona, CA 91767-3008 |
| John B Medina | Physician Assistant | Chaparral Medical Group Inc | 585 N Mountain Ave A, Upland, CA 91786-8516 |
| Lisa C Butler | Internal Medicine | Chaparral Medical Group Inc | 790 E Bonita Ave 2nd Flr, Pomona, CA 91767-1906 |
| Jayapal A Reddy | Cardiovascular Disease (cardiology) | Chaparral Medical Group Inc | 1866 N Orange Grove Ave, Suite 102, Pomona, CA 91767-3031 |
| Sharyn D Brekhus | Neurosurgery | Chaparral Medical Group Inc | 9170 Haven Ave, Rancho Cucamonga, CA 91730-5416 |
| Ashok V Sharma | Internal Medicine | Chaparral Medical Group Inc | 138 Harvard Ave, Claremont, CA 91711-4716 |
| Chris J Harper | Dermatology | Chaparral Medical Group Inc | 790 E Bonita Ave 2nd Flr, Pomona, CA 91767-1906 |
| Street Address |
160 E ARTESIA ST 220 SOUTHERN CALIF CENTER FOR NEUROSCIENCE AND SPINE |
| City | POMONA |
| State | CA |
| Zip | 91767-2921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Afshin Arianjam | Orthopedic Surgery | Premier Orthopaedic Trauma Specialists, Pmc | 160 E Artesia St, Suite 255, Pomona, CA 91767-2921 |
| Joana Chan Lu | Physician Assistant | Premier Orthopaedic Trauma Specialists, Pmc | 160 E Artesia St, Suite 255, Pomona, CA 91767-2921 |
| Tchaka B Shepherd | General Surgery | The Institute of Trauma and Acute Care Inc | 160 E Artesia St, Suite 310, Pomona, CA 91767-2922 |
| Francisco Jose Cuellar | Obstetrics/gynecology | 160 E Artesia St, Suite 150, Pomona, CA 91767-2994 | |
| Christopher B Hayes | Orthopedic Surgery | Premier Orthopaedic Trauma Specialists, Pmc | 160 E Artesia St, Suite 255, Pomona, CA 91767-2921 |
| Nirav Hasmukh Amin | Sports Medicine | Premier Orthopaedic Trauma Specialists, Pmc | 160 E Artesia St, Suite 255, Pomona, CA 91767-2921 |
| Srinath Samudrala | Neurosurgery | Chaparral Medical Group Inc | 160 E Artesia St, 220 Southern Calif Center for Neuroscience and Spine, Pomona, CA 91767-2921 |
| Kevin Waldron | Neurosurgery | Chaparral Medical Group Inc | 160 E Artesia St, Suite 360, Pomona, CA 91767-2927 |
| Veronique C Hourany | Internal Medicine | Anabi Medical Corporation | 160 E Artesia St, Suite 225, Pomona, CA 91767-2925 |
| Michael A Jimenez | General Surgery | The Institute of Trauma and Acute Care Inc | 160 E Artesia St, Suite 310, Pomona, CA 91767-2922 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Barr | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 775 E Foothill Blvd, Pomona, CA 91767-1223 |
| Warren Gabrillo | Family Medicine | 219 E Foothill Blvd, Pomona, CA 91767-1403 | |
| Richard Veirs | Chiropractic | 355 E Foothill Blvd, Suite B, Pomona, CA 91767-1471 | |
| Jia Mao | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Wayne E Houpt Jr. | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Jennifer Lee | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Forrest Doan | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Seeyam Teimoori Nobandegani | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Susan M Bishop | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Patricia F Wallace-burke | Clinical Psychologist | Tricity Mental Health Center | 2008 N Garey Ave, Pomona, CA 91767-1639 |
| Find all physicians in zip 91767 | |||
| City | POMONA |
| Zip Code | 91767 |
| Specialty | GENERAL SURGERY |
| City + Specialty | POMONA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jerry J 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.