DR. WARREN TACKHOON KIM (NPI# 1063532778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063532778 |
| Entity Type | Individual |
| Full Name | DR. WARREN TACKHOON KIM |
| Credential | M.D., PH.D. |
| Practice Address |
45 Castro Street California Advanced Imaging Medical Associates San Francisco CA 94114 |
| Mailing Address |
Po Box 6102 Novato CA 94948-6102 |
| Practice Telephone | 4156007760 |
| Practice Fax Number | 4156007765 |
| Mailing Telephone | 4158843415 |
| Mailing Fax Number | 4158830877 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
A91921 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A91921 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | P01266715 | 01 |
| CA | 1063532778 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558642637 | Warren Kim | Social Worker | 845 East Willow Street, Signal Hill, CA 90755 | 2011-09-02 |
| Street Address |
45 CASTRO STREET CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124035274 | Lisa Marie O'connor | Optometrist | 45 Castro Street, Suite 318, San Francisco, CA 94114-1019 | 2006-08-02 |
| 1578873782 | Philip J. O'keefe M.d., Inc. | Internal Medicine | 45 Castro Street, Suite 138, San Francisco, CA 94114-1029 | 2010-10-21 |
| 1265590442 | Sutter West Bay Hospitals | General Acute Care Hospital | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1629136817 | California Pacific Medical Center | Skilled Nursing Facility | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1023176252 | Sutter West Bay Hospitals | Psychiatric Unit | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1679641807 | Sutter West Bay Hospitals | Clinic/Center | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1215095419 | Sutter West Bay Hospitals | Skilled Nursing Facility | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1811055098 | Sutter West Bay Hospitals | General Acute Care Hospital | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1720146905 | Sutter West Bay Hospitals | Psychiatric Unit | 45 Castro Street, San Francisco, CA 94114 | 2006-12-04 |
| 1376619031 | Sutter West Bay Hospitals | Clinic/Center | 45 Castro Street, San Francisco, CA 94114 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016883 | Eric Robert Holmgren | Radiologic Technologist | 601 Duboce Ave, North Tower, Level A, San Francisco, CA 94114 | 2020-06-05 |
| 1407488836 | Jocelyn Y. Skelley | Dentist | 3969 24th Street, San Francisco, CA 94114 | 2020-02-04 |
| 1467005710 | Tin Rx Castro San Francisco | Pharmacy | 2175 Market St., Unit 122, San Francisco, CA 94114 | 2019-07-16 |
| 1396239075 | Larry Do Nguyen | Physical Therapist | Castro and Duboce St, San Francisco, CA 94114 | 2018-06-18 |
| 1407385875 | Christine Kaede Fischer | Chiropractor | 1326 Church Street, San Francisco, CA 94114 | 2017-06-08 |
| 1437521168 | Caleb Zeringue | Registered Nurse | 840 Castro St, San Francisco, CA 94114 | 2015-10-21 |
| 1811310188 | Jennifer Lynn Sharpe | Counselor | 126 Church St., San Francisco, CA 94114 | 2014-01-22 |
| 1457787657 | Robin Rachel Rome | Art Therapist | 76a Pond Street, San Francisco, CA 94114 | 2013-09-19 |
| 1487990396 | Gregg S Aspacher | Pharmacist | 2262 Market Street, San Francisco, CA 94114 | 2012-12-20 |
| 1699025338 | Jinous Amjadi | Pharmacist | 2020 Market Street, San Francisco, CA 94114 | 2012-09-10 |
| Find all providers in zip 94114 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861995425 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 871 Lawton St, San Francisco, CA 94122-3541 | 2018-03-09 |
| 1144759697 | Iv Radiology Medical Group | Radiology | 1200 4th St Apt 426, San Francisco, CA 94158-2440 | 2017-06-08 |
| 1124559356 | Robert Earl Burky IIi | Radiology | 513 Parnassus Ave. S-321, Uscf - Department of Surgery, San Francisco, CA 94143-0470 | 2017-03-21 |
| 1487108403 | Stockdale Radiology Physician Services, Inc | Radiology | 1020 Francisco St, San Francisco, CA 94109-1127 | 2016-08-08 |
| 1700261765 | Riverside Radiology Medical Group, Inc. | Radiology | 400 Warren Dr, Apt. 4, San Francisco, CA 94131-1075 | 2015-07-20 |
| 1780070508 | Maya Vella | Radiology | 513 Parnassus Ave Rm S257a, San Francisco, CA 94143-2205 | 2015-04-08 |
| 1932598737 | Brian Trinh | Radiology | 513 Parnassus Ave # S257a, San Francisco, CA 94143-2205 | 2015-01-16 |
| 1164836607 | Marc-fernand Erian | Radiology | 1600 Divisadero St Rm C256, San Francisco, CA 94143-3010 | 2014-06-12 |
| 1770993271 | Ashley Lee | Radiology | 513 Parnassus Ave. Rm S-261, San Francisco, CA 94143-2205 | 2014-05-06 |
| 1194144170 | Sean Kelley | Radiology | 513 Parnassus Ave Ste S-261, San Francisco, CA 94143-2205 | 2014-04-07 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94114 |
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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.