DR. YOUNG MIN KIM (NPI# 1649236522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649236522 |
| Entity Type | Individual |
| Full Name | DR. YOUNG MIN KIM |
| Credential | M.D. |
| Practice Address |
3724 Lone Tree Way Suite A Antioch CA 94509 |
| Practice Telephone | 9257780700 |
| Practice Fax Number | 9257787400 |
| Mailing Telephone | 9257780700 |
| Mailing Fax Number | 9257787400 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C51136 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C511360 | 05 | |
| DEA NO | BK 3156189 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399356 | Young Joo Kim | Acupuncturist | 3237 Corporate Ct, Ellicott City, MD 21042-2247 | 2019-11-04 |
| 1083176523 | Young K Kim | Acupuncturist | 1027 4th Ave, Los Angeles, CA 90019-2018 | 2019-04-03 |
| 1336611938 | Young Ho Kim | Acupuncturist | 2966 Wilshire Blvd # A, Los Angeles, CA 90010-1128 | 2018-12-20 |
| 1356819767 | Young Sun Kim | Acupuncturist | 452 N 8th St Unit B, Fairview, NJ 07022-1106 | 2018-11-05 |
| 1467980482 | Young Mi Kim | Social Worker | 22252 Parched Dr, Calabasas, CA 91302-6117 | 2017-06-03 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1801347992 | Young O Kim | Acupuncturist | 3000 W Olympic Blvd Ste 301, Los Angeles, CA 90006-6512 | 2016-10-24 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1700207941 | Young Kim | Internal Medicine | 251 Campus Drive Room X3c46 Medical School Office Bdg, Division of General Medical Disciplines, Stanford, CA 94305 | 2013-12-13 |
| 1245584804 | Young Kyu Kim | Acupuncturist | 3130 Wilshire Blvd Ste 308, Los Angeles, CA 90010-1206 | 2012-11-05 |
| Street Address |
3724 LONE TREE WAY SUITE A |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093157984 | Jessica Lennon | Obstetrics & Gynecology | 4053 Lone Tree Way Ste 100, Antioch, CA 94531-6210 | 2013-07-22 |
| 1609107747 | Debra L Stewart, Inc | Obstetrics & Gynecology | 3700 Sunset Ln Ste 7, Antioch, CA 94509-6123 | 2010-01-28 |
| 1154347615 | Kyla Ai-lan Yee | Obstetrics & Gynecology | 4053 Lone Tree Way, #101, Antioch, CA 94531-6200 | 2006-07-15 |
| 1225421589 | Daniel L Zimmerman Md, Inc. | Obstetrics & Gynecology | 3737 Lone Tree Way, Antioch, CA 94509-6065 | 2015-03-11 |
| 1396074373 | Nicole Kathryn Shelton | Obstetrics & Gynecology | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2009-12-21 |
| 1942475710 | Elmira Manoucheri | Obstetrics & Gynecology | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2008-04-23 |
| 1124201223 | Anahita Latorra | Obstetrics & Gynecology | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2007-12-11 |
| 1619041225 | Vivien L. Tin | Obstetrics & Gynecology | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2006-11-17 |
| 1538231337 | Darcy Page Baird | Obstetrics & Gynecology | 5601 Deer Valley Rd, Antioch, CA 94531-8577 | 2006-11-15 |
| 1801974977 | Kenneth E. Grullon | Obstetrics & Gynecology | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2006-11-02 |
| Find all providers in ANTIOCH | ||||
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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.