JENNIFER SHIN YIM (NPI# 1588907802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588907802 |
| Entity Type | Individual |
| Full Name | JENNIFER SHIN YIM |
| Credential | PA-C |
| Practice Address |
1650 S Euclid Ave Ontario CA 91762-5824 |
| Mailing Address |
8239 Rochester Ave Suite #120 Rancho Cucamonga CA 91730-0714 |
| Practice Telephone | 9093914138 |
| Mailing Telephone | 9099410266 |
| Mailing Fax Number | 9099410569 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA22803 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICIAN ASSISTANT LICENSE | 22803 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8239 Rochester Ave, Suite #120, Rancho Cucamonga, CA 917300714 | 9099410266 | 9099410569 |
| Street Address |
1650 S EUCLID AVE |
| City | ONTARIO |
| State | CA |
| Zip Code | 91762-5824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861422578 | Rohin B. Talati | Family Medicine | 1650 S Euclid Ave, Ontario, CA 91762-5824 | 2006-07-05 |
| 1699245548 | Meena K Meka Md Inc | Internal Medicine | 1650 S Euclid Ave, Ontario, CA 91762-5824 | 2018-12-04 |
| 1124543129 | Universal Multi Specialty Medical Group Inc | Internal Medicine | 1650 S Euclid Ave, Ontario, CA 91762-5824 | 2017-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093486 | Samantha Jo Brumfield | Nurse Practitioner | 5562 Central Avenue, Suite 300, Chino, CA 91762 | 2019-09-20 |
| 1215598578 | Janet Murphy | Behavior Technician | 1520 North Mountain Ave., Ste 206, Ontario, CA 91762 | 2019-06-26 |
| 1437717550 | Fjs Hearing Professionals | Hearing Instrument Specialist | 528 N Palm Ave, Ontario, CA 91762 | 2019-06-04 |
| 1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
| 1093230468 | David Rayo | Respiratory Therapist, Registered | 805 W E St, Ontario, CA 91762 | 2017-08-07 |
| 1215475348 | Chinmay Patel | Physical Therapist | 910 S Mountain Avenue Unite A, Ontario, CA 91762 | 2017-02-09 |
| 1003265604 | Bambi Mpiana | Dentist | 1337 N Mountain Ave Ste 1, Ontario, CA 91762 | 2016-06-06 |
| 1548630940 | Ned Paniagua, Dmd A Professional Corporation | Dentist | 533 W. Holt Blvd., Suite B, Ontario, CA 91762 | 2015-09-29 |
| 1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
| 1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
| Find all providers in zip 91762 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1093024994 | Stephen Styadi | Physician Assistant | 1760 E Flora St, Ontario, CA 91764-4458 | 2010-09-27 |
| 1801127170 | Rafael Romero | Physician Assistant | 521 E Park St, Ontario, CA 91761-1724 | 2010-01-26 |
| 1306175021 | Lilian Y Chou | Physician Assistant | 1440 E Cedar St, Ontario, CA 91761-8300 | 2009-12-08 |
| 1215160510 | Kacey L Andreasen | Physician Assistant | 1050 Sw 3rd Ave Ste 1200, Ontario, OR 97914-4550 | 2009-09-02 |
| 1235206483 | Leah Rose Zalsman | Physician Assistant | 1520 N. Moutain Ave Bldg F Suite 128, Ontario, CA 91762 | 2006-11-30 |
| 1518577394 | Matea Berria | Physician Assistant | 840 Sw 4th Ave, Ontario, OR 97914-2633 | 2020-08-05 |
| 1154971174 | Emily Grace Bond Russell | Physician Assistant | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2019-09-12 |
| 1053740290 | Courtney M Combe | Physician Assistant | 702 Sunset Dr, Ontario, OR 97914-3121 | 2013-11-07 |
| Find all providers in ONTARIO | ||||
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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.