DR. NANCY VILAYSAK KIM (NPI# 1114344066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114344066 |
| Entity Type | Individual |
| Full Name | DR. NANCY VILAYSAK KIM |
| Other Name | DR. NANCY VILAYSAK |
| Credential | DPM |
| Practice Address |
3801 Miranda Ave Palo Alto CA 94304-1207 |
| Mailing Address |
3801 Miranda Ave Palo Alto CA 94304-1290 |
| Practice Telephone | 6504935000 |
| Mailing Telephone | 6504935000 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5345 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15047 Los Gatos Blvd, Los Gatos, CA 950322054 | 4083562774 | |
| 3801 Miranda Ave, Palo Alto, CA 943041207 | 6504935000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184937294 | Nancy Kim | Physical Therapist | 117 Shoreward Dr, Great Neck, NY 11021-2514 | 2010-07-17 |
| 1063541761 | Nancy M Kim | Internal Medicine | 1831 Glendon Ave, #3, Los Angeles, CA 90025-4635 | 2007-03-06 |
| 1699873307 | Nancy Carol Kim | Pediatrics | 1715 North George Mason Dr, #205, Arlington, VA 22205 | 2006-09-20 |
| 1073547626 | Nancy K Kim | Specialist | 3663 W 6th St Ste 307, Los Angeles, CA 90020-3050 | 2006-07-10 |
| 1417324047 | Nancy Kim | Case Manager/Care Coordinator | 655 Broadway, Paterson, NJ 07514 | 2015-08-31 |
| 1245640184 | Nancy Kim | Radiology | 550 1st Ave, New York, NY 10016 | 2014-04-30 |
| 1669813051 | Nancy T. Kim | Nurse Anesthetist, Certified Registered | 4755 Ogletown Stanton Rd, Newark, DE 19718-1320 | 2013-07-12 |
| 1871844001 | Nancy Kim | Pharmacist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2012-09-27 |
| 1134445166 | Nancy Kim | Physical Therapist | 2951 Harbor Blvd, Costa Mesa, CA 92626-3912 | 2010-04-15 |
| 1700080223 | Nancy Kim | Internal Medicine | 20 York Street, Cb-2041, New Haven, CT 06510 | 2007-06-11 |
| Street Address |
3801 MIRANDA AVE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405449 | John Paul Lavelle | Urology | 3801 Miranda Ave, B3-117 Bldg 100 Urology (#112), Palo Alto, CA 94304-1207 | 2005-05-27 |
| 1437750619 | Ashley Ando | Respiratory Therapist, Registered | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-11-04 |
| 1265032783 | Jim Le | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-10-26 |
| 1497354484 | Laura Renee Zimmerman | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-10-21 |
| 1891300810 | Clark Dan Ma | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-09-15 |
| 1124630900 | Palo Alto Perfusion Service | Perfusionist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-21 |
| 1790397362 | Gihun Kim | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1750993309 | Jessica Tran | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1083226500 | Danielle Jean Fox | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-08-17 |
| 1346851078 | Alice Lin | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962053454 | Quinton Wong | Podiatrist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2019-09-25 |
| 1538715123 | Allyn Bishop | Podiatrist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2019-08-10 |
| 1982187027 | Jisun Julia Lee | Podiatrist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2018-09-14 |
| 1578947313 | Amreep Dhillon | Podiatrist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2015-07-10 |
| 1467835991 | Stephen An | Podiatrist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2015-07-01 |
| 1538425939 | Rajan Arun Patel | Podiatrist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2012-04-10 |
| 1255616116 | Chatra Klaisri | Podiatrist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2011-10-11 |
| 1578884524 | Diana Arredondo Werner | Podiatrist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2010-06-14 |
| 1447487830 | William Cabell Adams | Podiatrist | 795 El Camino Real, Level 3, Lee Building - Department of Podiatry, Palo Alto, CA 94301-2302 | 2009-06-12 |
| 1063528693 | Sandra Jay Loving | Podiatrist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-08-23 |
| Find all providers in PALO ALTO | ||||
Please comment or provide details below to improve the information on DR. NANCY VILAYSAK 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.