MI LA KIM (NPI# 1295047058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295047058 |
| Entity Type | Individual |
| Full Name | MI LA KIM |
| Credential | FNP |
| Practice Address |
33758 Yucaipa Blvd Yucaipa CA 92399 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9097959747 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19524 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2190 Market St, Riverside, CA 92501 | 9512133300 |
| Street Address |
33758 YUCAIPA BLVD |
| City | YUCAIPA |
| State | CA |
| Zip Code | 92399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701977 | Victor Salib | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2006-02-23 |
| 1629681614 | Keely Alison Niemeyer | Dietitian, Registered | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2020-08-28 |
| 1750894630 | Huong Le | Optometrist | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2017-11-14 |
| 1801338645 | Kaitlin Darlene Kostecki | Nurse Practitioner | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2016-11-10 |
| 1568844645 | Lisa Shelly-ann Thompson | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2015-06-24 |
| 1457730392 | Mina Sameh Sobhy Soliman | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2015-05-26 |
| 1427437813 | Rachael Suzanne Tennant | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2015-05-19 |
| 1891188454 | Marina Gonzalez | Physician Assistant | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2015-03-06 |
| 1740500313 | Marc Hualong Ma | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2010-06-07 |
| 1821231648 | Gaja Andzel | Internal Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2009-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301941 | Emily Ambrosi | Occupational Therapist | 12257 Tulip Ln, Yucaipa, CA 92399 | 2020-09-23 |
| 1952943524 | Terrence Williams | Behavioral Analyst | 13768 Meadow View Lane, Yucaipa, CA 92399 | 2019-10-15 |
| 1235795097 | Han Acu&herbs, Inc | Acupuncturist | 32387 Yucaipa Blvd, Ste, F, Yucaipa, CA 92399 | 2019-05-16 |
| 1366926784 | David Gene Satre | Psychologist | 31752 Dove Ct, Yucaipa, CA 92399 | 2018-09-21 |
| 1336659861 | Titianna Little | Physical Therapist | 32819 Yucaipa Boulevard #3, Yucaipa, CA 92399 | 2017-10-11 |
| 1174043467 | Sharon Lee Pendola | Licensed Vocational Nurse | 11885 4th St, Yucaipa, CA 92399 | 2017-06-27 |
| 1073033072 | Juniper Manor, LLC | Skilled Nursing Facility | 35223 Juniper Avenue, Yucaipa, CA 92399 | 2017-06-21 |
| 1952858417 | Rafael Arias | Non-emergency Medical Transport (VAN) | 12386 17th St, Yucaipa, CA 92399 | 2016-09-01 |
| 1578906467 | Joyce I Bandele | Durable Medical Equipment & Medical Supplies | 34664 County Line Rd Suite 14, Yucaipa, CA 92399 | 2013-04-10 |
| 1033475108 | Loleta Michelle Gustafson | Marriage & Family Therapist | 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 | 2012-04-03 |
| Find all providers in zip 92399 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598808222 | Penchitt Winkelman | Nurse Practitioner | 10990 Sunnyside Dr, Yucaipa, CA 92399-3338 | 2007-02-14 |
| 1407385149 | Gilbert Agyemang-boakye | Nurse Practitioner | 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 | 2017-06-07 |
| 1801338645 | Kaitlin Darlene Kostecki | Nurse Practitioner | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2016-11-10 |
| 1487025177 | Brandie Richards | Nurse Practitioner | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2015-10-07 |
| 1831594670 | Jessica Lynn Willemse | Nurse Practitioner | 34845 Yucaipa Blvd, Yucaipa, CA 92399-4268 | 2014-10-22 |
| 1932154119 | Emmanuel S Angeles | Nurse Practitioner | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
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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.