Jonathan Kim (NPI# 1104220102, PAC ID# 8628334034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1104220102 |
| PAC ID by PECOS | 8628334034 |
| Professional Enrollment ID | I20171116002831 |
| Full Name | Jonathan Kim |
| Organization Legal Name | COACHELLA VALLEY FOOT AND ANKLE INSTITUTE |
| Address |
39000 Bob Hope Dr Suite 207 Rancho Mirage CA 92270-3221 |
| Phone Number | 7608488231 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0648571406 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 39000 Bob Hope Dr, Suite 207, Rancho Mirage, CA 92270-3221 | 7608488231 | COACHELLA VALLEY FOOT AND ANKLE INSTITUTE |
| Organization Legal Name | COACHELLA VALLEY FOOT AND ANKLE INSTITUTE |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ben S Wehrli | Podiatry | Coachella Valley Foot and Ankle Institute | 221 W E St, Imperial Wellness, Brawley, CA 92227-1836 |
| Douglas L Croff | Podiatry | Coachella Valley Foot and Ankle Institute | 221 W E St, Imperial Wellness, Brawley, CA 92227-1836 |
| Street Address |
39000 BOB HOPE DR SUITE 207 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip | 92270-3221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter James Sofia | Anesthesiology | Rancho Mirage Anesthesia Consultants Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Kristen M. Wellington | Anesthesiology | Rancho Mirage Anesthesia Consultants Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Leon A Feldman | Cardiac Electrophysiology | Eisenhower Medical Center | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Adam M Roberts | Hospitalist | Eisenhower Medical Center | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Nelson J Berkowitz | Anesthesiology | Rancho Mirage Anesthesia Consultants Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Dinesh N Patel | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| David H Stoltzman | Family Medicine | 39000 Bob Hope Dr, Suite 409, Rancho Mirage, CA 92270-3221 | |
| Praveen Panguluri | Cardiovascular Disease (cardiology) | Eisenhower Medical Center | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Robin A Rawson | Pathology | Coachella Valley Pathology | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Mark C Genesen | Gynecological Oncology | Eisenhower Medical Center | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ann Conrad | Nurse Practitioner | Rupinder Mann M D Inc | 72047 Pinah Shore Dr, Suite 4, Rancho Mirage, CA 92270 |
| Andrew Robert Rothstein | Podiatry | 69730 Hwy IIi, Suite 101, Rancho Mirage, CA 92270 | |
| Balaji Nettimi | Psychologist, Clinical | 45 -525 Rancho Mirage Ln B, Rancho Mirage, CA 92270 | |
| Rupinder Mann | Geriatric Medicine | Rupinder Mann M D Inc | 72047 Pinah Shore Dr, Suite 4, Rancho Mirage, CA 92270 |
| Priscilla A Slagle | Psychiatry | 24 Scarborough Way, Rancho Mirage, CA 92270-1624 | |
| Chun K Kim | Oral Surgery | 35900 Bob Hope Dr, Suite 110, Rancho Mirage, CA 92270-1700 | |
| Klaus Yi | Oral Surgery | 34530 Bob Hope Dr B, Rancho Mirage, CA 92270-1727 | |
| Kurt D Cao | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 |
| David P Schreiber | Radiation Oncology | 35800 Bob Hope Dr, Suite 215, Rancho Mirage, CA 92270-1739 | |
| Craig Marshall Johnson | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 |
| Find all physicians in zip 92270 | |||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
| Specialty | PODIATRY |
| City + Specialty | RANCHO MIRAGE + PODIATRY |
Please comment or provide details below to improve the information on Jonathan 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.