SUN IK KIM (NPI# 1093738932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093738932 |
| Entity Type | Individual |
| Full Name | SUN IK KIM |
| Credential | MD |
| Practice Address |
489 E 21st St San Bernardino CA 92404-4816 |
| Practice Telephone | 9098822973 |
| Practice Fax Number | 9098822681 |
| Mailing Telephone | 9098822973 |
| Mailing Fax Number | 9098822681 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A69380 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS & BLUE SHIELD | 00A693801 | 01 |
| CA | 0A693801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891234928 | Sun Kim | Pharmacist | 9112 Santiago Dr, Huntington Beach, CA 92646-6341 | 2017-02-22 |
| 1316394562 | Sun Kim | Dentist | 8524 Harvest Oak Dr, Vienna, VA 22182-5601 | 2016-05-18 |
| 1114398450 | Sun Kim | Student in an Organized Health Care Education/Training Program | 210 City Blvd W Apt 103, Orange, CA 92868-2928 | 2015-10-13 |
| 1508262817 | Sun Hye Kim | Nurse Practitioner | 1871 Martin Ave # 102, Santa Clara, CA 95050-2501 | 2014-11-13 |
| 1598923765 | Sun M Kim | Acupuncturist | 22636 Ocean Ave Apt 6, Torrance, CA 90505-3639 | 2008-05-23 |
| 1326189937 | Sun Y Kim | Dentist | 2262 Pacific Coast Hwy, Lomita, CA 90717-2532 | 2007-02-08 |
| 1801949912 | Sun Hui Kim | Pharmacist | 4881 La Palma Ave, La Palma, CA 90623-2019 | 2007-01-19 |
| 1124091764 | Sun Yong Kim | Nuclear Medicine | Department of The Army Wamc Stop A 2817 Reilly Road, Attn: Sun Yong Kim Mcxc-rad, Fort Bragg, NC 28310-7301 | 2006-02-13 |
| 1528605052 | Sun Hi Kim | Pharmacist | 4040 N Oracle Rd, Tucson, AZ 85705-2720 | 2019-12-03 |
| 1083279822 | Sun Mi Kim | Pharmacist | 2100 Columbus Pkwy, Benicia, CA 94510-5402 | 2019-05-07 |
| Street Address |
489 E 21ST ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043655525 | David Stewart Koslov | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2013-05-09 |
| 1639436538 | Owena Elizabeth Chu | Registered Nurse | 489 E 21st St, San Bernardino, CA 92404-4816 | 2012-04-16 |
| 1841502986 | Avinash Chenam | Urology | 489 E 21st St, San Bernardino, CA 92404 | 2010-07-06 |
| 1760666499 | Steve Dong | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2007-12-17 |
| 1972517928 | Daniel J Lama | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700809753 | Franklin M Chu | Urology | 489e 21st St, San Bernardino, CA 92404-4816 | 2006-07-25 |
| 1043655525 | David Stewart Koslov | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2013-05-09 |
| 1841502986 | Avinash Chenam | Urology | 489 E 21st St, San Bernardino, CA 92404 | 2010-07-06 |
| 1760666499 | Steve Dong | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2007-12-17 |
| 1972517928 | Daniel J Lama | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on SUN IK KIM.
| 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.