EUGENE KIM (NPI# 1477870863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477870863 |
| Entity Type | Individual |
| Full Name | EUGENE KIM |
| Credential | M.D. |
| Practice Address |
9961 Sierra Ave Department of Anesthesiology Fontana CA 92335-6720 |
| Mailing Address |
2026 Foothill Dr Fullerton CA 92833-1235 |
| Practice Telephone | 9094275000 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
FK2853338 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477825438 | Eugene Y Kim | Radiology | 1613 Hill St, White Oak, PA 15131-2119 | 2012-02-06 |
| 1912225673 | Eugene Kim | Pain Medicine | 4650 Sunset Blvd, Ms #3, Children's Hospial Los Angeles, Dept of Anesthesia, Los Angeles, CA 90027 | 2010-05-05 |
| 1609051838 | Eugene Duejin Kim | Dentist | 5861 Beach Blvd, Buena Park, CA 90621-2021 | 2008-01-07 |
| 1346277969 | Eugene H Kim | Internal Medicine | 9378 Forestwood Ln, Suite E, Manassas, VA 20110-4741 | 2006-06-27 |
| 1831157049 | Eugene Young Kim | Podiatrist | 3117 Ditmars Blvd, Astoria, NY 11105-2300 | 2006-05-04 |
| 1255390522 | Eugene I. Kim | Dentist | 9201 N 29th Ave, Suite 33, Phoenix, AZ 85051-3468 | 2006-03-23 |
| 1679186324 | Eugene Kim | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2020-08-24 |
| 1114585239 | Eugene Heejin Kim | Student in an Organized Health Care Education/Training Program | 1251 S Cedar Crest Blvd Ste 202a, Allentown, PA 18103-6214 | 2019-06-04 |
| 1710541982 | Eugene Kim | Orthopaedic Surgery | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2019-04-23 |
| 1588151641 | Eugene Kim | Student in an Organized Health Care Education/Training Program | 800 Washington St, Boston, MA 02111-1552 | 2018-04-15 |
| Street Address |
9961 SIERRA AVE DEPARTMENT OF ANESTHESIOLOGY |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560199 | Barbara Ann Mahoney | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2005-06-29 |
| 1023629979 | Whitney Mah | Speech-Language Pathologist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-13 |
| 1083224166 | Jennifer Hull | Genetic Counselor, MS | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-04 |
| 1568081842 | Jorge Kareem Sierra | Radiologic Technologist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-04-16 |
| 1821625963 | Syed Sajjad Sarwar Naqvi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
| 1730716903 | Hannah Choi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
| 1912534413 | Mia Raquel Montoya | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1093342461 | Jennica Kahkejian | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1881221299 | Youstina Youssef | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1790312015 | Sara Tong | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457752198 | Mvp Pediatric and Urgent Care A Professional Corporation | Anesthesiology | 18555 Ventura Blvd Ste B, Tarzana, CA 91356-4101 | 2014-09-12 |
| 1518207471 | Robert W Wong | Anesthesiology | 1121 New Ave, Alhambra, CA 91801-4915 | 2013-02-28 |
| 1609145549 | Joanna Treder Kawecki | Anesthesiology | 13053 Maxwell Dr, Tustin, CA 92782-0919 | 2011-12-21 |
| 1891940078 | Susan Firestone | Anesthesiology | 4650 W Sunset Blvd # 3, Los Angeles, CA 90027-6062 | 2008-12-01 |
| 1619918364 | Toni Denise Daniels | Anesthesiology | 1430 13th Avenue, Oakland, CA 94606-1912 | 2006-06-10 |
| 1649880147 | Pediatric Office Anesthesia Specialists | Anesthesiology | 12625 High Bluff Dr Ste 301, San Diego, CA 92130-2054 | 2020-08-09 |
| 1225596422 | Certified Anesthesia Consultants, Inc. | Anesthesiology | 1351 E Spruce Ave Ste 110, Fresno, CA 93720-3342 | 2019-03-06 |
| 1285192617 | Alexander R Schmidt | Anesthesiology | 300 Pasteur Dr, 3rd Floor Mail Code 5640, Stanford, CA 94305 | 2019-03-05 |
| 1104394329 | Scott C. Wallace Md Inc | Anesthesiology | 1415 Ross Ave, El Centro, CA 92243-4306 | 2018-11-06 |
| 1962944074 | Dennis Chang Md Pediatric Anesthesia Apc | Anesthesiology | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 | 2016-11-07 |
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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.