KEE JIN KWON (NPI# 1508423567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508423567 |
| Entity Type | Individual |
| Full Name | KEE JIN KWON |
| Credential | NP |
| Practice Address |
4855 Atherton Ave Ste 101 San Jose CA 95130-1026 |
| Mailing Address |
906 Rancho Pl San Jose CA 95126-5204 |
| Practice Telephone | 4089632400 |
| Mailing Telephone | 4084824241 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95011410 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4855 ATHERTON AVE STE 101 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95130-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013136423 | Julie Dutton | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2007-04-24 |
| 1487119525 | Sarah Gayle Sadumiano Galinato | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2019-02-03 |
| 1255797122 | Amandeep Kaur Mann | Dietitian, Registered | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2016-01-07 |
| 1568834505 | Caremore Health Plan | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316599087 | Ajay Pala | Occupational Therapist | 20400 Los Gatos-saratoga Rd, Saratoga, CA 95130 | 2019-07-12 |
| 1366516205 | Irene Shuk Wong | Nurse Practitioner | 4855 Atherton Ave, San Jose, CA 95130 | 2006-11-20 |
| 1417489691 | Laura Silvester | Marriage & Family Therapist | 4950 Hamilton Ave Ste 102, San Jose, CA 95130 | 2017-03-28 |
| 1184806325 | Michael Hwa | Internal Medicine | 751 S. Bascom Ave., San Jose, CA 95130 | 2007-11-29 |
| 1114438074 | Gregory Paul Roumbanis | Marriage & Family Therapist | 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 | 2017-10-18 |
| 1912045840 | Scott Waddell | Chiropractor | 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 | 2007-02-02 |
| 1699245795 | Jim Patton | Massage Therapist | 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 | 2018-11-30 |
| 1790255990 | Aya Pierre | Nurse Practitioner | 4855 Atherton Ave, San Jose, CA 95130-1026 | 2018-11-29 |
| 1184131039 | Pattyjo Marsette | Marriage & Family Therapist | 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 | 2018-01-01 |
| 1033566401 | Minh Tran | Chiropractor | 4855 Atherton Ave, Ste. 202, San Jose, CA 95130-1026 | 2016-05-16 |
| Find all providers in zip 95130 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565738 | Lena Kil | Nurse Practitioner | 3680 Greenlee Dr Apt 4, San Jose, CA 95117-1469 | 2020-10-09 |
| 1740893858 | Esther Kiang | Nurse Practitioner | 1072 E Santa Clara St, San Jose, CA 95116-2245 | 2020-08-28 |
| 1902419575 | Leonard Iskander | Nurse Practitioner | 1146 Summerpark Ct, San Jose, CA 95132-2944 | 2020-08-25 |
| 1760004055 | Destiny Ann Brewer | Nurse Practitioner | 4735 Hamilton Ave # 80, San Jose, CA 95130-1769 | 2020-05-11 |
| 1841825148 | Marta Anna Sivarajah | Nurse Practitioner | 255 N. White Rd., San Jose, CA 95127-1966 | 2020-03-06 |
| 1114567500 | Sabine Dorothea Haas | Nurse Practitioner | 1879 Lundy Ave Ste 233, San Jose, CA 95131-1881 | 2020-01-14 |
| 1861033870 | Jessica Gutierrez | Nurse Practitioner | 635 S 11th St Apt 14, San Jose, CA 95112-2343 | 2019-10-01 |
| 1124589379 | Yvonne Ndeh | Nurse Practitioner | 418 Shadowgraph Dr, San Jose, CA 95110-3564 | 2019-03-29 |
| 1588139661 | Vicky Chi Lin | Nurse Practitioner | 100 Oak St Rm F-3, San Jose, CA 95110-2817 | 2018-10-04 |
| 1851884381 | Anh Tuan Huynh | Nurse Practitioner | 3100 Rubino Dr Apt 310, San Jose, CA 95125-6369 | 2018-06-09 |
| Find all providers in SAN JOSE | ||||
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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.