MR. EDWARD KIM (NPI# 1356394613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356394613 |
| Entity Type | Individual |
| Full Name | MR. EDWARD KIM |
| Credential | MPT |
| Practice Address |
3838 Sherman Dr Suite 9 Riverside CA 92503 |
| Mailing Address |
3838 Sherman Dr Ste 11 Riverside CA 92503-4001 |
| Practice Telephone | 9097097496 |
| Mailing Telephone | 9513532831 |
| Mailing Fax Number | 9513532834 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT22700 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497201701 | Edward Kim | Student in an Organized Health Care Education/Training Program | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701 | 2016-08-28 |
| 1700084886 | Edward S Kim | Dentist | 9110 Railroad Dr Ste 201, Manassas Park, VA 20111-7041 | 2007-07-10 |
| 1457567836 | Edward Tae Kim | General Practice | 658 N Black Horse Pk, Runnemede, NJ 08078 | 2007-05-15 |
| 1679619092 | Edward T Kim | Internal Medicine | 2222 East St Ste 305, Concord, CA 94520-2066 | 2007-01-30 |
| 1982779013 | Edward Yungjung Kim | Dentist | 5205 S. Durango Dr. #103, Las Vegas, NV 89113 | 2006-11-22 |
| 1992807366 | Edward S Kim | Dentist | 191 Hamburg Turnpike, Pompton Lakes, NJ 07442 | 2006-09-05 |
| 1346264595 | Edward H. Kim | Podiatrist | 1245 Wilshire Blvd Ste 202, Los Angeles, CA 90017-4810 | 2006-07-27 |
| 1952369548 | Edward Kim | Internal Medicine | 7 Community Dr, Buffalo, NY 14225-2523 | 2006-05-03 |
| 1316948029 | Edward D Kim | Urology | 1928 Alcoa Hwy, Bldg B Suite 222, Knoxville, TN 37920-1502 | 2005-08-03 |
| 1275538076 | Edward C Kim | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2005-06-17 |
| Street Address |
3838 SHERMAN DR SUITE 9 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906140 | Carl Wolnisty | Internal Medicine | 3838 Sherman Dr, Suite 7, Riverside, CA 92503-4001 | 2005-07-19 |
| 1053855585 | Chandrasekhar Eadara | Pharmacist | 3838 Sherman Dr, Ste 1, Riverside, CA 92503-4001 | 2016-12-19 |
| 1316319106 | Laura Marie Aguilar | Nurse Practitioner | 3838 Sherman Dr, Suite 3, Riverside, CA 92503-4001 | 2015-10-20 |
| 1063899698 | Inland Pediatrics, Inc. | Pediatrics | 3838 Sherman Dr, Suite 7, Riverside, CA 92503-4001 | 2015-05-04 |
| 1144597444 | Paul Micheal Hupp | Physician Assistant | 3838 Sherman Dr, Suite 3, Riverside, CA 92503-4001 | 2011-11-30 |
| 1982996898 | Ming-chuan Chang | Nurse Practitioner | 3838 Sherman Dr, Sutie 10, Riverside, CA 92503-4001 | 2011-05-11 |
| 1437321155 | Sharon Laughlin Inc | Legal Medicine | 3838 Sherman Dr, 3, Riverside, CA 92503-4001 | 2008-04-02 |
| 1982875704 | Carl Wolnisty Md Inc | Internal Medicine | 3838 Sherman Dr, Suite 7, Riverside, CA 92503-4098 | 2008-03-19 |
| 1821278169 | Hajera Sultana Md., Inc | Family Medicine | 3838 Sherman Dr, Ste 12, Riverside, CA 92503-4001 | 2007-11-04 |
| 1124207410 | Robert E Parker Dpm | Podiatrist | 3838 Sherman Dr, Suite 9, Riverside, CA 92503-4001 | 2007-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336364108 | Sylvia Helene O'neill | Physical Therapist | 2240 Grace St, Riverside, CA 92504-4902 | 2007-04-16 |
| 1245455104 | Theodora Winn | Physical Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-04-16 |
| 1386767341 | Zakary Syl Benson | Physical Therapist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
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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.