SUE KIM (NPI# 1164509097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164509097 |
| Entity Type | Individual |
| Full Name | SUE KIM |
| Credential | MD |
| Practice Address |
1100 Grundy Ln San Bruno CA 94066-3065 |
| Mailing Address |
1 Embarcadero Ctr Ste 1900 San Francisco CA 94111-3723 |
| Practice Telephone | 8882011937 |
| Mailing Telephone | 4156586791 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A79478 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A794780 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773577 | Sue Young Kim | Speech-Language Pathologist | 1704 Hopefield Rd, Silver Spring, MD 20905-4112 | 2019-04-30 |
| 1710466248 | Sue Vin Kim | Dentist | 1308 Orchard Ave, Los Angeles, CA 90006-4712 | 2018-08-06 |
| 1194184804 | Sue Young Kim | Dentist | 1515 Crenshaw Blvd, Torrance, CA 90501-2436 | 2016-02-23 |
| 1972986107 | Sue Kim | Dentist | 24128 130th Ave Se, Kent, WA 98030-9209 | 2015-07-07 |
| 1942603691 | Sue Kim | Pharmacist | 24624 Van Zandt Ave, Little Neck, NY 11362-1239 | 2014-10-08 |
| 1245661719 | Sue Kim | Specialist | 3636 172nd St, #86, Flushing, NY 11358-2397 | 2013-12-09 |
| 1124280987 | Sue Kim | Physician Assistant | 9201 W Sunset Blvd Ste 404, Los Angeles, CA 90069-3705 | 2008-07-01 |
| 1649249889 | Sue H Kim | Psychologist | One Chalet Dr Ste 106, The Summit Executive Offices, Wilton, NH 03086-0844 | 2006-03-17 |
| 1124014642 | Sue Kim | Otolaryngology | 3633 W Lake Ave, Suite 300, Glenview, IL 60026-5805 | 2005-09-20 |
| 1629061247 | Sue Yeun Kim | Obstetrics & Gynecology | 140 Hoverhill St, Andover Ob/gyn, Andover, MA 01810 | 2005-08-30 |
| Street Address |
1100 GRUNDY LN |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189837 | One Medical Group, Inc. | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2019-11-20 |
| 1487213781 | One Medical Group, Inc. | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2019-06-10 |
| 1750429932 | Mario Alberto Sandoval | Psychologist | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
| Find all providers in zip 94066 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189837 | One Medical Group, Inc. | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2019-11-20 |
| 1487213781 | One Medical Group, Inc. | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2019-06-10 |
| 1407128119 | Jade Ramos-poblete | Internal Medicine | 901 El Camino Real, San Bruno, CA 94066-3009 | 2012-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225872 | Prime Medicine Partners Inc | Internal Medicine | 7647 N Fresno St, Fresno, CA 93720-2578 | 2020-11-08 |
| 1710587670 | Physicians of Southern California Inc | Internal Medicine | 1304 W Holt Blvd Ste A, Ontario, CA 91762-3640 | 2020-10-29 |
| 1538768064 | Express Carenow, Inc | Internal Medicine | 4100 Central Ave Ste 101, Riverside, CA 92506-2930 | 2020-10-26 |
| 1861091795 | Sequoia Radiation Oncology Servics, Inc | Internal Medicine | 4945 W Cypress Ave Ste A, Visalia, CA 93277-1592 | 2020-10-21 |
| 1639778673 | Deepak Mehta | Internal Medicine | C/o Medical Staff Office, Cmf, Vacaville, CA 95696 | 2020-10-21 |
| 1053919332 | Kingsley Clinic of California, PC | Internal Medicine | 275 E Hillcrest Dr Ste 160, Thousand Oaks, CA 91360-7772 | 2020-10-09 |
| 1144836826 | Dr. Stephanie Mcclellen, Md PC | Internal Medicine | 900 Hyde St Fl 4, San Francisco, CA 94109-4806 | 2020-09-18 |
| 1346856358 | Kahala Biosciences Inc | Internal Medicine | 3 Whatney Ste 200, Irvine, CA 92618-2826 | 2020-09-16 |
| 1063027050 | Vinay Panchal Md Inc | Internal Medicine | Colusa Medical Center, 199 E Webster St, Colusa, CA 95932-2954 | 2020-09-15 |
| 1962017269 | One Primary Care Inc. | Internal Medicine | 800 S Central Ave Ste 212, Glendale, CA 91204-4388 | 2020-09-14 |
| 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.