DR. SHWAN KIM (NPI# 1417901877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417901877 |
| Entity Type | Individual |
| Full Name | DR. SHWAN KIM |
| Credential | MD |
| Practice Address |
865 Deer Willow Ct Thousand Oaks CA 91320-5508 |
| Mailing Address |
11995 Singletree Ln Suite #500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A77747 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
865 DEER WILLOW CT |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91320-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982059200 | Bay Area Radiology, PC | Radiology | 865 Deer Willow Ct, Thousand Oaks, CA 91320-5508 | 2016-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691452 | Velvet Hearts Professional Home Care Agency LLC | Chore Provider | 409 Calle Veracruz, Newbury Park, CA 91320 | 2019-04-05 |
| 1235603325 | Jefix LLC | Durable Medical Equipment & Medical Supplies | 1351 Alessandor Drive, Newberry Park, CA 91320 | 2019-01-11 |
| 1972074987 | Ayreen Sonbol | Non-emergency Medical Transport (VAN) | 79 N Madrid Ave, Newbury Park, CA 91320 | 2018-12-17 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1750874996 | Lady Mary Lhaine Escoto Sagun | Registered Nurse | 1550 Pachino Circle Apt G, Thousand Oaks, CA 91320 | 2018-06-12 |
| 1528410784 | Cristina Rose Markiewicz | Dentist | 400 S. Reino Road, Suite 100, Newbury Park, CA 91320 | 2016-07-12 |
| 1639559552 | Joshua Tree Healthcare, Inc. | Home Health | 2545 W Hillcrest Dr Ste 130a, Thousand Oaks, CA 91320 | 2015-06-05 |
| 1841679651 | Vesper Healthcare, Inc. | Hospice Care, Community Based | 2545 W Hillcrest Dr Ste 130, Thousand Oaks, CA 91320 | 2015-05-26 |
| 1376952580 | Lori Diamond | Pharmacist | 512 Ventu Park Rd, Thousand Oaks, CA 91320 | 2014-08-13 |
| 1275942807 | J J Abbott Dds, PC | Dentist | 501-i S. Reino Rd #214, Newbury Park, CA 91320 | 2014-08-07 |
| Find all providers in zip 91320 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861835076 | Rachel Lauren Delfanti | Radiology | 415 Rolling Oaks Dr., Suite 125 and 230, Thousand Oaks, CA 91361-1038 | 2013-04-08 |
| 1356596001 | Neil George Diorio | Radiology | 3050 Heavenly Ridge St, Thousand Oaks, CA 91362-1187 | 2008-11-21 |
| 1821277252 | Deborah Abelson | Radiology | 415 Rolling Oaks Dr Ste 160, Thousand Oaks, CA 91361-1031 | 2007-11-01 |
| 1831307677 | Robert S. Sitarz | Radiology | 415 Rolling Oaks Dr Ste 1601252, Thousand Oaks, CA 91361 | 2007-05-17 |
| 1093841033 | Per-se Technologies | Radiology | 1525 Rancho Conejo Blvd, Suite 201, Thousand Oaks, CA 91320-1448 | 2007-02-26 |
| 1437127693 | Thousand Oaks Diagnostic Imaging Center | Radiology | 2180 Lynn Road, Thousand Oaks, CA 91360 | 2006-03-14 |
| 1073585212 | Barry D Klein | Radiology | 215 West Janss Rd, Thousand Oaks, CA 91360 | 2006-02-02 |
| 1295705028 | David Aufrichtig | Radiology | 2180 Lynn Rd, Thousand Oaks, CA 91360 | 2006-01-24 |
| 1629058466 | Thousand Oaks Diagnostic Imaging Center | Radiology | 227 West Janss Road, Suite 150, Thousand Oaks, CA 91360 | 2006-01-18 |
| 1538145362 | Michael E Hlinka | Radiology | 215 West Janss Road, Radiology Department, Thousand Oaks, CA 91360 | 2005-12-22 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91320 |
Please comment or provide details below to improve the information on DR. SHWAN 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.