DR. YOO JIN KIM (NPI# 1093792194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093792194 |
| Entity Type | Individual |
| Full Name | DR. YOO JIN KIM |
| Credential | DDS |
| Practice Address |
15301 Washington Ave San Leandro CA 94579-1811 |
| Mailing Address |
11478 Silvergate Dr Dublin CA 94568-2753 |
| Practice Telephone | 5103516820 |
| Mailing Telephone | 9258330546 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2011-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DE00010611 | WA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
51093 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063569077 | Yoo Keun Kim | Internal Medicine | 6209 Chapman Hwy, Knoxville, TN 37920-5936 | 2007-01-04 |
| 1881083103 | Yoo Jung Kim | Nurse Anesthetist, Certified Registered | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2015-01-12 |
| Street Address |
15301 WASHINGTON AVE |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94579-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208773 | I Zak Dds Prof Dental Corp | Dentist | 15301 Washington Ave, San Leandro, CA 94579-1811 | 2019-07-25 |
| 1831667732 | Yan Kalika Dental Corporation | Dentist | 15301 Washington Ave, San Leandro, CA 94579-1811 | 2018-11-08 |
| 1114099801 | Community Dental Services | Dentist | 15301 Washington Ave, San Leandro, CA 94579-1811 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546227 | Thai-son Hoang Nguyen | Pharmacist | 15500 Washingston Ave, San Leandro, CA 94579 | 2018-01-25 |
| 1174079370 | Ngan Kim Tran | Dentist | 1513 Hickory Ave, San Leandro, CA 94579 | 2016-08-28 |
| 1801223581 | Sara Litpon-carey | Social Worker | 16335 East 14th Street, 2nd Floor, San Leandro, CA 94579 | 2013-09-26 |
| 1336143189 | Loreto R Sicam Jr. | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579 | 2005-06-09 |
| 1831309491 | Alice Tangi Blancaflor | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579 | 2007-05-23 |
| 1497224885 | Sonia Zuniga Morales | Behavior Technician | 14389 Elm St, San Leandro, CA 94579-1028 | 2018-11-15 |
| 1770992380 | Stars, Inc. | Community/Behavioral Health | 14790 Corvallis Street, Counseling Office, San Leandro, CA 94579-1174 | 2014-08-07 |
| 1497222707 | Stephanie Clare Bowar | Behavior Technician | 14690 Wiley St, San Leandro, CA 94579-1213 | 2018-10-25 |
| 1427231349 | San Leandro Unified School District | Local Education Agency (LEA) | 14735 Juniper St, San Leandro, CA 94579-1222 | 2007-12-13 |
| 1639657752 | Erika Apel | Counselor | 1324 Avon Ave, San Leandro, CA 94579-1340 | 2018-07-31 |
| Find all providers in zip 94579 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795067 | Ryan C Woo Dental Corporation | Dentist | 433 Estudillo Ave Ste 107, San Leandro, CA 94577-4915 | 2020-03-16 |
| 1174079370 | Ngan Kim Tran | Dentist | 1513 Hickory Ave, San Leandro, CA 94579 | 2016-08-28 |
| 1235413600 | Torres Dental Inc | Dentist | 579 Floresta Blvd, Ste D, San Leandro, CA 94578-4106 | 2011-10-04 |
| 1194023317 | Gary G Jeong | Dentist | 362 Joaquin Ave, San Leandro, CA 94577-4712 | 2011-03-11 |
| 1821322199 | Robert Israel | Dentist | 502 Estudillo Ave, San Leandro, CA 94577-4612 | 2009-09-19 |
| 1457582355 | Kenneth Ochoa Torres | Dentist | 579 Floresta Blvd Ste D, San Leandro, CA 94578-4124 | 2009-07-27 |
| 1528214228 | Jorn N Olimpiada | Dentist | 15401 Hesperian Blvd Ste F, San Leandro, CA 94578-3900 | 2008-08-13 |
| 1942474218 | Stanley E Franson | Dentist | 505 Estudillo Ave Ste A, San Leandro, CA 94577-4611 | 2008-04-17 |
| 1689845380 | Vicente Laico David Jr. | Dentist | 148 Best Ave, San Leandro, CA 94577-2704 | 2008-03-20 |
| 1255512174 | Victor Drabkin | Dentist | 536 Estudillo Ave, San Leandro, CA 94577-4612 | 2007-11-20 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94579 |
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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.