DR. VANESSA KHIM (NPI# 1023676871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023676871 |
| Entity Type | Individual |
| Full Name | DR. VANESSA KHIM |
| Practice Address |
939 Lakeville St Petaluma CA 94952-3329 |
| Practice Telephone | 7077621036 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 69296 | CA | Pharmacy Service Providers |
| Street Address |
939 LAKEVILLE ST |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790158442 | Suzanne Lange | Pharmacist | 600 King Rd, Petaluma, CA 94952-1009 | 2015-11-03 |
| 1700186889 | Craig Edmond Rickard | Pharmacist | 373 S Mcdowell Blvd, Petaluma, CA 94954-3507 | 2010-10-23 |
| 1568516102 | Charles C Stuart | Pharmacist | 1932 Granite Valley Way, Petaluma, CA 94954-1842 | 2007-01-22 |
| 1962400721 | Soma Health Associates | Pharmacist | 35 Maria Dr, Suite 860, Petaluma, CA 94954-3548 | 2005-07-14 |
| 1568069664 | Jian Qing Liang | Pharmacist | 291 N Mcdowell Blvd, Petaluma, CA 94954-2306 | 2020-10-02 |
| 1750938015 | Eric Nguyen | Pharmacist | 365 E Washington St, Petaluma, CA 94952-3168 | 2019-08-21 |
| 1932764255 | Krystal Nicole Velez Farinacci | Pharmacist | 291 N Mcdowell Blvd, Petaluma, CA 94954-2306 | 2019-05-02 |
| 1548770258 | Laurel Whitney Carmichael | Pharmacist | 389 S Mcdowell Blvd, Petaluma, CA 94954-3507 | 2017-10-08 |
| 1336673110 | Matthew Anderson | Pharmacist | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2017-04-18 |
| 1497289268 | Suzanne Aoyagi | Pharmacist | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2017-04-18 |
| Find all providers in PETALUMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.