Edward T Kim (NPI# 1679619092, PAC ID# 6204929524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1679619092 |
| PAC ID by PECOS | 6204929524 |
| Professional Enrollment ID | I20070831000585 |
| Full Name | Edward T Kim |
| Organization Legal Name | DIABLO NEPHROLOGY MEDICAL GROUP, INC |
| Address |
2370 Country Hills Dr Suite 101 Antioch CA 94509-7436 |
| Phone Number | 9257799635 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2365420965 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050523 | SUTTER DELTA MEDICAL CENTER |
| 050496 | JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS |
| 050180 | JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS |
| 050276 | CONTRA COSTA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 | 9257799635 | DIABLO NEPHROLOGY MEDICAL GROUP, INC |
| 2222 E St, Suite 305, Concord, CA 94520-2066 | 9256861230 | DIABLO NEPHROLOGY MEDICAL GROUP, INC |
| 110 Tampico, Suite 200, Walnut Creek, CA 94598-2962 | 9259440351 | DIABLO NEPHROLOGY MEDICAL GROUP, INC |
| Organization Legal Name | DIABLO NEPHROLOGY MEDICAL GROUP, INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doris Sofia Galina Quintero | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Jason K Law | Nephrology | Diablo Nephrology Medical Group, Inc | 2222 E St, Suite 305, Concord, CA 94520-2066 |
| Chenyin He | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Theresa K Runyon | Nurse Practitioner | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Elizabeth M Wrone | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Jason Ja-shen Shey | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Mario P Curzi | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Zita J Shiue | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| May Y Chiu | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Rohit Sharma | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Street Address |
2370 COUNTRY HILLS DR SUITE 101 |
| City | ANTIOCH |
| State | CA |
| Zip | 94509-7436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doris Sofia Galina Quintero | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Chenyin He | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Theresa K Runyon | Nurse Practitioner | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Elizabeth M Wrone | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Jason Ja-shen Shey | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Mario P Curzi | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Zita J Shiue | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| May Y Chiu | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Rohit Sharma | Nephrology | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Lynde A Rouche | Physician Assistant | Diablo Nephrology Medical Group, Inc | 2370 Country Hills Dr, Suite 101, Antioch, CA 94509-7436 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd M Frigard | Chiropractic | 501 W 3rd St, Antioch, CA 94509-1275 | |
| Queen Lynn Marie Adu-poku | Clinical Social Worker | 101 Waldie Plz, Suite 10, Antioch, CA 94509-1279 | |
| Sanjay Ray | Cardiovascular Disease (cardiology) | 1130 A St, Antioch, CA 94509-2356 | |
| Stacey A Duckett | Chiropractic | 1407 A St, Suite D, Antioch, CA 94509-2357 | |
| Sylvia L Chi | Nephrology | Permanente Medical Group Inc | 3100 Delta Fair Blvd, Antioch, CA 94509-4001 |
| Steven Lin | Dermatology | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
| Seema C Cameron | Family Medicine | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
| Barbara D Garcia | Dermatology | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
| Vickrum Chodri | Internal Medicine | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
| Mark C Vanriper | Physical Therapy | Permanente Medical Group Inc | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 |
| Find all physicians in zip 94509 | |||
| City | ANTIOCH |
| Zip Code | 94509 |
| Specialty | NEPHROLOGY |
| City + Specialty | ANTIOCH + NEPHROLOGY |
Please comment or provide details below to improve the information on Edward T 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.