JIN RIAN KIM (NPI# 1679597835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679597835 |
| Entity Type | Individual |
| Full Name | JIN RIAN KIM |
| Credential | MD |
| Practice Address |
7000 Boulder Ave Highland CA 92346-3348 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9098621191 |
| Practice Fax Number | 9097932916 |
| Mailing Telephone | 9208351100 |
| Mailing Fax Number | 9208351099 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2016-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 41996 | WI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | C55676 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32644100 | 05 | |
| WI | 11014110 | 05 | |
| WI | CMH NPI | 1851477913 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225769 | Jin Ah Kim | Military Health Care Provider | Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 | 2020-05-03 |
| 1790348886 | Jin Ho Kim | Acupuncturist | 18623 Highway 99 Ste 260, Lynnwood, WA 98037-4555 | 2019-04-15 |
| 1801370093 | Jin Hyun Kim | Acupuncturist | 332 Route 100 Ste 2, Somers, NY 10589-3259 | 2018-09-24 |
| 1659656874 | Jin Dea Kim | Obstetrics & Gynecology | 8370 Royal Troon Dr., Duluth, GA 30097 | 2011-10-19 |
| 1740518174 | Jin Kuen Kim | Acupuncturist | 503 N Pacific Coast Hwy, Redondo Beach, CA 90277-2104 | 2009-11-23 |
| 1629209341 | Jin Young Kim | Dentist | 5811 Pine Ave Ste B, Chino Hills, CA 91709-6541 | 2009-07-29 |
| 1649412719 | Jin Hwan Kim | Pharmacy Technician | 856 Stockbridge Dr, Hockessin, DE 19707-1431 | 2009-04-03 |
| 1306002480 | Jin Koo Kim | Dentist | 19 Demarco Rd, Sudbury, MA 01776-2019 | 2008-07-29 |
| 1588825418 | Jin Kim | Dentist | 23922 Summerhill Ln, Valencia, CA 91354 | 2008-06-23 |
| 1376605477 | Jin Ho Kim | Pharmacist | 12582 Central Ave, Chino, CA 91710-3507 | 2006-12-14 |
| Street Address |
7000 BOULDER AVE |
| City | HIGHLAND |
| State | CA |
| Zip Code | 92346-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568412567 | Hin Wah Lee | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-05-11 |
| 1932757374 | Roger Rosewitz | Nurse Practitioner | 7000 Boulder Ave, Highland, CA 92346-3348 | 2019-08-29 |
| 1003383480 | Andrew Tyler | Orthopaedic Surgery | 7000 Boulder Ave, Highland, CA 92346-3348 | 2018-10-24 |
| 1306330444 | Charlene De Grassi | Nurse Practitioner | 7000 Boulder Ave, Highland, CA 92346 | 2018-06-21 |
| 1366812786 | Timothy Thue | Physician Assistant | 7000 Boulder Ave, Highland, CA 92346-3348 | 2015-09-28 |
| 1598196255 | Thaung Myat Aung | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346 | 2013-12-06 |
| 1013353218 | Raymond Sedgh | Family Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2013-05-14 |
| 1730524067 | Michael Joseph Mcneill | Family Medicine | 7000 Boulder Ave, Highland, CA 92346 | 2013-04-30 |
| 1407142201 | Mohamed Sami Elsharif | Psychiatry & Neurology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2011-06-21 |
| 1427341577 | Ankona Ghosh | Otolaryngology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101830 | First Choice Transport Services LLC | Non-emergency Medical Transport (VAN) | 7538 Bonita Dr, Highland, CA 92346 | 2020-10-13 |
| 1578031597 | Highland Optometrics | Optometrist | 7291 Boulder Avenue Suite #2d, Highland, CA 92346 | 2018-11-07 |
| 1972098218 | Hlh Wellness | Health Educator | 7758 Merlin Way, Highland, CA 92346 | 2018-06-28 |
| 1871088385 | Alexandria Ramirez | Behavioral Analyst | 7566 Rock Crest Lane, Highland, CA 92346 | 2018-06-27 |
| 1942708383 | Sarah Kristine Alcaide Young | Nurse Practitioner | 7223 Church St Ste C, Highland, CA 92346 | 2018-01-31 |
| 1861914251 | Brianna Rose Delpilar | Pharmacist | 2692 Highland Ave., Spc. 20, Highland, CA 92346 | 2017-07-07 |
| 1811440894 | Nancy Elizabeth Clark | Counselor | 29157 Stonegate Lane, Highland, CA 92346 | 2016-07-26 |
| 1952771529 | Michael Woosley | Physical Therapy Assistant | 29176 Whitegate Ln., Hihgland, CA 92346 | 2015-09-25 |
| 1326422940 | Lawryn Ask Monterroso | Dentist | 7216 Palm Avenue Suit B, Highland, CA 92346 | 2015-07-14 |
| 1073908315 | Empacare Homecare | Hospice, Inpatient | 7231 Boulder Ave., Ste 197, Highland, CA 92346 | 2015-04-03 |
| Find all providers in zip 92346 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881935781 | Donald Lloyd Chaney | Family Medicine | 3833 Meadow Lane, Highland, IL 62249 | 2013-03-04 |
| 1851646731 | Kristin Michelle Paul | Family Medicine | 7291 Boulder Ave Ste 2-c, Highland, CA 92346-6900 | 2012-07-17 |
| 1194058255 | Hao Ngoc Thai | Family Medicine | 27843 Rainbow Ln, Highland, CA 92346-2666 | 2009-09-08 |
| 1346467057 | Jass Inc | Family Medicine | 7905 Via Obra Ct, Highland, CA 92346-6310 | 2007-04-20 |
| 1245367630 | Gerald Berrett | Family Medicine | 10744 N 5250 W, Highland, UT 84003-8886 | 2007-02-27 |
| 1801971734 | Upland Hills Health, Inc | Family Medicine | 551 N Main St, Highland, WI 53543 | 2006-10-26 |
| 1386654796 | Family Heath Care Center of Highland, P.C. | Family Medicine | 3747 45th St, Highland, IN 46322-3008 | 2006-08-08 |
| 1336173608 | Lauren Renee Vigna | Family Medicine | 222 Route 299., Highland, NY 12528 | 2006-07-10 |
| 1376594804 | Carey Paul | Family Medicine | 7291 Boulder Ave Ste 2c, Highland, CA 92346-6900 | 2006-05-12 |
| 1700836475 | Inland Healthcare Group A Medical Corporation | Family Medicine | 7291 Boulder Ave, Ste 2c, Highland, CA 92346-3389 | 2006-05-11 |
| Find all providers in HIGHLAND | ||||
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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.