PAUL DONG-IL KIM (NPI# 1447624911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447624911 |
| Entity Type | Individual |
| Full Name | PAUL DONG-IL KIM |
| Credential | PA-C |
| Practice Address |
2865 Churn Creek Rd Suite A Redding CA 96002-1117 |
| Practice Telephone | 5306467269 |
| Practice Fax Number | 5302752201 |
| Mailing Telephone | 5306467269 |
| Mailing Fax Number | 5302752201 |
| Enumeration Date | 2015-11-21 |
| Last Update Date | 2016-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 53309 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 7659 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427529973 | Paul Kim | Registered Nurse | 17314 Vickie Ave, Cerritos, CA 90703-1354 | 2018-12-10 |
| 1538600119 | Paul Kim | Physical Therapy Assistant | 1378 Willow Oak Rd, Castle Rock, CO 80104-8566 | 2017-03-15 |
| 1619417490 | Paul Kim | Pharmacist | 765 Limekiln Pike Unit 26, Glenside, PA 19038-3930 | 2017-02-28 |
| 1568919686 | Paul Kim | Dentist | Hq, 618th Dental Company (as), Usa, Health Dental Activity-korea, Seoul, APO AP 96205-5652 | 2016-09-07 |
| 1467825786 | Paul J Kim | Dentist | Ucsf Department of Surgery 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2015-11-09 |
| 1336560234 | Paul Kim | Dentist | 809 N Houk Rd, Delaware, OH 43015-4418 | 2013-12-18 |
| 1841633138 | Paul Taehoon Kim | Student in an Organized Health Care Education/Training Program | 231 Albert Sabin Way Ml 0558, Univ of Cincinnati Medical Center Department of Surgery, Cincinnati, OH 45267-0588 | 2013-04-17 |
| 1174806525 | Paul Joon Kim | Dentist | 514 Fulton Ave, Hempstead, NY 11550-4364 | 2011-09-22 |
| 1275822777 | Paul Moonwhan Kim | Psychiatry & Neurology | Meyer 1-104, 600 N. Wolfe St., Baltimore, MD 21287-0001 | 2011-04-05 |
| 1477885960 | Paul Kim | Dentist | 6090 Redwood Blvd, Suite D, Novato, CA 94945-4569 | 2010-02-08 |
| Street Address |
2865 CHURN CREEK RD SUITE A |
| City | REDDING |
| State | CA |
| Zip Code | 96002-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073653861 | Martin Andrew Dawson | Nurse Practitioner | 2865 Churn Creek Rd, Suite B, Redding, CA 96002-1117 | 2007-02-08 |
| 1700419264 | Natacha Chaney | Counselor | 2865 Churn Creek Rd, Redding, CA 96002-1117 | 2020-02-12 |
| 1972956068 | Alisha Woods | Psychologist | 2865 Churn Creek Rd, Suite A, Redding, CA 96002-1117 | 2016-07-13 |
| 1801145321 | Faye Alicia Branum | Physician Assistant | 2865 Churn Creek Rd, Redding, CA 96002-1117 | 2012-08-29 |
| 1447469085 | Benton Clay Kinney | Physician Assistant | 2865 Churn Creek Rd, Suite A, Redding, CA 96002-1117 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123915 | Kendra Owen | Physician Assistant | 1555 East St Ste 100, Redding, CA 96001-1153 | 2020-08-05 |
| 1316578818 | Kaylin Rae Sanders | Physician Assistant | 375 Smile Pl Ste B, Redding, CA 96001-3653 | 2020-02-03 |
| 1922550292 | Nicole Combs | Physician Assistant | 2216 Buenaventura Blvd Ste B, Redding, CA 96001-3838 | 2016-11-02 |
| 1326482068 | Terry Lee Pelayo | Physician Assistant | 2022 Jewell Ln, Redding, CA 96001-4823 | 2013-04-24 |
| 1578842100 | Lacey Monique Townsend | Physician Assistant | 2891 Churn Creek Rd Ste A, Redding, CA 96002-1148 | 2011-08-13 |
| 1699061986 | Larisa Gumerova | Physician Assistant | 1742 Oregon St, Redding, CA 96001 | 2011-06-24 |
| 1396994430 | Robyn Lynn Carpenter | Physician Assistant | 2750 Eureka Way Ste 101, Redding, CA 96001-0251 | 2008-09-12 |
| 1528144912 | Kathleen B. Chesney | Physician Assistant | 1388 Court Street, Suite H, Redding, CA 96001-1650 | 2006-10-27 |
| 1073122412 | Christopher Wills | Physician Assistant | 100 E Cypress Ave, Redding, CA 96002-0162 | 2020-07-30 |
| 1689298598 | Kellie Sperduto | Physician Assistant | 1742 Oregon St, Redding, CA 96001-1717 | 2020-06-05 |
| Find all providers in REDDING | ||||
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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.