DR. ALYSSA Y. KIM (NPI# 1629265772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629265772 |
| Entity Type | Individual |
| Full Name | DR. ALYSSA Y. KIM |
| Other Name | DR. Y. ALYSSA KIM |
| Credential | M.D. |
| Practice Address |
14150 Culver Dr Suite 304 Irvine CA 92604-0315 |
| Practice Telephone | 9497860908 |
| Practice Fax Number | 9497860970 |
| Mailing Telephone | 7148955614 |
| Mailing Fax Number | 9497860970 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2009-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G70663 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
G70663 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
G70663 | CA | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
G70663 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G70663 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992250989 | Alyssa Nakyoung Kim | Pharmacist | 1607 Bridge St, Philadelphia, PA 19124-1360 | 2016-08-18 |
| 1689648875 | Alyssa Kim | Ophthalmology | 6262 E Broadway Rd, Suite 106, Mesa, AZ 85206-6101 | 2006-02-14 |
| Street Address |
14150 CULVER DR SUITE 304 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-0315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285621342 | Bruce Paul Marcus | Psychologist | 14150 Culver Dr, Ste 201, Irvine, CA 92604-0315 | 2005-10-04 |
| 1326596925 | Envision Sport Physical Therapy & Pilates | Physical Therapist | 14150 Culver Dr, Suite 103, Irvine, CA 92604-0315 | 2016-09-13 |
| 1417234162 | Manal Aziz Dds Inc | Dentist | 14150 Culver Dr, Suite 205, Irvine, CA 92604-0315 | 2011-11-09 |
| 1104111251 | Allergy and Asthma Clinics of Orange County | Allergy & Immunology | 14150 Culver Dr, Ste 302, Irvine, CA 92604-0315 | 2011-06-16 |
| 1255623245 | Ramona Elizabeth Johnson | Family Medicine | 14150 Culver Dr, Irvine, CA 92604-0315 | 2011-05-09 |
| 1114243763 | Farid Azhir | Marriage & Family Therapist | 14150 Culver Dr, Suite 307, Irvine, CA 92604-0315 | 2010-04-07 |
| 1346576469 | Caithness Amy Rodriguez | Family Medicine | 14150 Culver Dr, Suite 100, Irvine, CA 92604-0315 | 2009-10-23 |
| 1972732253 | Kevin Parker | Chiropractor | 14150 Culver Dr, Suite 103, Irvine, CA 92604-0315 | 2009-07-08 |
| 1154582757 | David E Rice | Marriage & Family Therapist | 14150 Culver Dr, Suite 203, Irvine, CA 92604-0315 | 2008-06-17 |
| 1902089808 | Irvine Family Practice Medical | Family Medicine | 14150 Culver Dr, Suite 100, Irvine, CA 92604-0315 | 2007-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225491293 | Christina Nicole Kraus | Dermatology | Uc Irvine Health 118 Med Surg 1, Irvine, CA 92697-3017 | 2016-03-29 |
| 1134514888 | Jessica Shiu | Dermatology | 118 Medical Surge 1, Irvine, CA 92697 | 2015-03-31 |
| 1811315583 | Nathan Rojek | Dermatology | 1 Medical Plaza Drive Gottschalk Medical Plaza, Irvine, CA 92697-3017 | 2014-03-31 |
| 1649513508 | Melissa Shive | Dermatology | Uci Dermatology 1 Medical Plaza Drive, Irvine, CA 92697 | 2013-03-29 |
| 1043578610 | Nadir Yusaf Qazi | Dermatology | 113 Waterworks Way Ste 105, Irvine, CA 92618-3171 | 2012-05-02 |
| 1164656229 | Vivian Laquer | Dermatology | 118 Med Surg I, Irvine, CA 92697-2400 | 2009-05-05 |
| 1386849958 | Heidi Goodarzi | Dermatology | 16300 Sand Canyon Ave., Suite 506, Irvine, CA 92618-3705 | 2007-06-15 |
| 1386767630 | Gary W Cole | Dermatology | Dept. of Dermatology, Univ. of Calif., Irvine, Medical Sciences 1, Rm C340, Irvine, CA 92697 | 2007-04-09 |
| 1073633467 | Gary Cheukman Lee | Dermatology | 4980 Barranca Pkwy Ste 202, Irvine, CA 92604-8653 | 2007-03-30 |
| 1851473862 | Nissan Pilest | Dermatology | 16100 Sand Canyon Ave Ste 190, Irvine, CA 92618-3723 | 2006-10-19 |
| Find all providers in IRVINE | ||||
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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.