PAUL J. KIM (NPI# 1629205190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629205190 |
| Entity Type | Individual |
| Full Name | PAUL J. KIM |
| Credential | M.D. |
| Practice Address |
2895 Edinger Ave Tustin CA 92780-7257 |
| Mailing Address |
File 749267 Los Angeles CA 90074-9267 |
| Practice Telephone | 9493815800 |
| Practice Fax Number | 9495525152 |
| Mailing Telephone | 8772079454 |
| Mailing Fax Number | 6156917497 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2017-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A93398 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0101247041 | VA | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
L-239140 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | USA MANAGED CARE | PAR | 01 |
| VA | TRICARE | 1629205190 | 01 |
| VA | CORVEL/CORCARE | PAR | 01 |
| VA | AETNA | PAR | 01 |
| VA | UNITED HEALTH CARE/MAMSI | PAR | 01 |
| VA | ANTHEM BC/BS (GRESHAM DR.) | 401737 | 01 |
| VA | ANTHEM BC/BS (LAKE WRIGHT DR.) | 401745 | 01 |
| VA | MULTIPLAN | PAR | 01 |
| VA | VA PREMIER HEALTH | PAR | 01 |
| VA | OPTIMA HEALTH | 10059062 | 01 |
| VA | VA HEALTH NETWORK | PAR | 01 |
| VA | ANTHEM BC/BS (GLENN MITCHELL DR.) | 401742 | 01 |
| NC | 5914173 | 05 | |
| VA | CIGNA | PAR | 01 |
| VA | 1629205190 | 05 | |
| VA | FIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH | PAR | 01 |
| VA | ANTHEM BC/BS (FIRST COLONIAL RD) | 401734 | 01 |
| 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 |
2895 EDINGER AVE |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-7257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940198 | Vijaykumar Ramchandra Kini | Radiology | 2895 Edinger Ave, Tustin, CA 92780-7257 | 2005-08-26 |
| 1568908804 | Paul J Kim Md Inc | Radiology | 2895 Edinger Ave, Tustin, CA 92780-7257 | 2017-01-10 |
| 1659502839 | Anthony Pongwai Lam | Internal Medicine | 2895 Edinger Ave, Tustin, CA 92780-7257 | 2009-08-05 |
| 1265463970 | Vijay Kini Md. Inc. | Radiology | 2895 Edinger Ave, Tustin, CA 92780-7257 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174594386 | Los Angeles Radiation Oncology Medical Associates | Radiology | 14642 Newport Ave, #470, Tustin, CA 92780-6057 | 2006-01-27 |
| 1417940198 | Vijaykumar Ramchandra Kini | Radiology | 2895 Edinger Ave, Tustin, CA 92780-7257 | 2005-08-26 |
| 1568908804 | Paul J Kim Md Inc | Radiology | 2895 Edinger Ave, Tustin, CA 92780-7257 | 2017-01-10 |
| 1427281666 | Stephen William Doggett, M.d. Pa | Radiology | 14642 Newport Ave, Tustin, CA 92780-6057 | 2009-09-03 |
| 1265463970 | Vijay Kini Md. Inc. | Radiology | 2895 Edinger Ave, Tustin, CA 92780-7257 | 2006-07-05 |
| 1982675021 | Stephen W Doggett | Radiology | 14642 Newport Ave, #470, Tustin, CA 92780-6057 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
| Find all providers with the same taxonomy | ||||
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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.