DR. CHARLES KIM (NPI# 1104242924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104242924 |
| Entity Type | Individual |
| Full Name | DR. CHARLES KIM |
| Credential | M.D. |
| Practice Address |
1899 W March Ln Stockton CA 95207-6402 |
| Practice Telephone | 2096234700 |
| Practice Fax Number | 2096234710 |
| Mailing Telephone | 2096234700 |
| Mailing Fax Number | 2096234710 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | A142099 | CA | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
A142099 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427467331 | Charles Kim | Dentist | 18605 Cecelia Way, Cerritos, CA 90703-6136 | 2014-08-05 |
| 1912331141 | Charles J Kim | Dentist | 406 Sw 336th Ct, Federal Way, WA 98023-8301 | 2013-08-23 |
| 1306090246 | Charles J Kim | Dentist | 500 N Central Ave Ste 700, Glendale, CA 91203-3342 | 2008-11-05 |
| 1043420268 | Charles Kim | Optometrist | 94-07a 46 Avenue, 2nd Floor, Elmhurst, NY 11373 | 2007-05-23 |
| 1063429447 | Charles Junghyun Kim | Dentist | 10217 19th Ave Se Ste 202, Everett, WA 98208-4266 | 2006-08-01 |
| 1154361434 | Charles S. Kim | Specialist | 631 Cleveland Ave S Ste 5, Saint Paul, MN 55116-1244 | 2006-06-07 |
| 1699208074 | Charles Kim | Student in an Organized Health Care Education/Training Program | 430 Clarkson Avenue, Room Bsb 2-74, Brooklyn, NY 11203 | 2017-04-04 |
| 1740674761 | Charles C Kim | Hospitalist | 1375 E 19th Ave, Denver, CO 80218-1114 | 2015-03-27 |
| 1447523568 | Charles Chanwoong Kim | Dentist | 12142 Yosemite Blvd, Waterford, CA 95386-9163 | 2012-02-21 |
| 1215204227 | Charles Kim | Pharmacist | 8201 Greenleaf Ave, Whittier, CA 90602-2910 | 2011-11-18 |
| Street Address |
1899 W MARCH LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508837279 | Philip A Edington | Specialist | 1899 W March Ln, Stockton, CA 95207-6402 | 2006-01-30 |
| 1104369123 | Jennifer Pham | Optometrist | 1899 W March Ln, Stockton, CA 95207-6402 | 2016-11-22 |
| 1639550130 | Majid Roubach | Ophthalmology | 1899 W March Ln, Stockton, CA 95207 | 2015-06-11 |
| 1780099903 | Angela Poja Maharaj | Optometrist | 1899 W March Ln, Stockton, CA 95207-6402 | 2014-06-26 |
| 1821331034 | Sarah Lauren Dehaybi | Ophthalmology | 1899 W March Ln, Stockton, CA 95207-6402 | 2013-04-05 |
| 1902125537 | Nina Nguyen Nordgren | Ophthalmology | 1899 W March Ln, Stockton, CA 95207 | 2010-05-21 |
| 1114176674 | Daniel Edward Levinsohn | Ophthalmology | 1899 W March Ln, Stockton, CA 95207-6402 | 2008-09-09 |
| 1740480441 | Daniel Wee | Ophthalmology | 1899 W March Ln, Stockton, CA 95207-6402 | 2007-07-20 |
| 1326062084 | Center for Sight of Stockton A Medical Corporation | Specialist | 1899 W March Ln, Stockton, CA 95207-6402 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366941296 | Guy G Massry, Md | Ophthalmology | 150 N Robertson Blvd Ste 314, Beverly Hills, CA 90211-2145 | 2018-02-06 |
| 1316483225 | Catherine Cox, Md, Inc | Ophthalmology | 711 D St Ste 102, San Rafael, CA 94901-3703 | 2017-01-17 |
| 1841734084 | Marlon Maus | Ophthalmology | 2616 Etna St, Berkeley, CA 94704-3409 | 2016-12-07 |
| 1538399761 | California Eye and Facial Plastic Surgery | Ophthalmology | 1812 Port Abbey Pl, Newport Beach, CA 92660-5310 | 2009-07-22 |
| 1790943355 | Roya Ghafouri | Ophthalmology | 9735 Wilshire Blvd Ste 421, Beverly Hills, CA 90212-2113 | 2008-05-29 |
| 1134395205 | Jeffrey Joseph | Ophthalmology | 180 Newport Center Dr Ste 158, Newport Beach, CA 92660-0934 | 2008-05-07 |
| 1013940519 | Medical Vision Technology Ophthalmology Grp Inc. | Ophthalmology | 1700 Alhambra Blvd, Suite 202, Sacramento, CA 95816-7050 | 2006-07-08 |
| 1609809144 | Medical Vision Technology Ophthalmology Grp, Inc | Ophthalmology | 1830 Sierra Gardens Dr, Suite 100, Roseville, CA 95661-2942 | 2006-07-08 |
| 1841292257 | Jeremiah Tao | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92697-4375 | 2005-08-15 |
| 1053938175 | Kelsey Andrea Roelofs | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-7065 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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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.