DR. SO YOUNG KIM (NPI# 1699934638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699934638 |
| Entity Type | Individual |
| Full Name | DR. SO YOUNG KIM |
| Credential | MD |
| Practice Address |
275 W Macarthur Oakland CA 94611-5641 |
| Practice Telephone | 5107521000 |
| Mailing Telephone | 5107521000 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2014-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
107241 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871890319 | So Young Kim | Nurse Practitioner | 160 E 53rd St, New York, NY 10022-5243 | 2011-02-18 |
| Street Address |
275 W MACARTHUR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132580 | David Law | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2005-05-31 |
| 1003247818 | Suzanne P Whitcomb | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-12-03 |
| 1629400445 | Jason Villarin | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-08-02 |
| 1619311560 | Failin Au | Psychologist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-04-22 |
| 1447592266 | Kimberly Gail Ernest | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-03-19 |
| 1336489657 | Heather L. Tyson | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-02-22 |
| 1083966931 | Gregory Miller Barnell | Nurse Practitioner | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-10-02 |
| 1164773594 | Bonnie L Taylor | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-09-25 |
| 1073861308 | Heidi Evelynne Meck | Psychologist | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-08-16 |
| 1457607913 | Shilpa V Patel | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225458573 | Michael Wu | Anesthesiology | 1411 E 31st Street, Attn Anesthesia Department, Oakland, CA 94602 | 2014-04-24 |
| 1164662128 | Lynell Williams | Anesthesiology | 350 Hawthorne Ave Rm 2346, Oakland, CA 94609 | 2009-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851899876 | Dennis Thomas Mangano | Anesthesiology | 30 Genevra Rd, Hillsborough, CA 94010-6423 | 2018-01-24 |
| 1801282579 | Sara Sedrak | Anesthesiology | 127 S San Vicente Blvd Ste 3100, Los Angeles, CA 90048-3311 | 2015-04-09 |
| 1649699505 | Christopher Dinh | Anesthesiology | 2500 Grant Rd # 2a302, Mountain View, CA 94040-4302 | 2014-04-08 |
| 1295178002 | Deon We-jin Lau | Anesthesiology | 11234 Anderson St # 2539, Loma Linda, CA 92354 | 2013-04-10 |
| 1417208596 | Pacific Physicians Medical, Inc. | Anesthesiology | 573 Center Dr, Palo Alto, CA 94301-3102 | 2012-09-28 |
| 1225356777 | Dante William Oriente | Anesthesiology | 972 Calle Serra, San Dimas, CA 91773-4332 | 2010-05-07 |
| 1578793279 | Christopher George Choukalas | Anesthesiology | 120 Parker Ave, #102, San Francisco, CA 94118-2673 | 2009-07-16 |
| 1225219025 | Robert Chan Ang | Anesthesiology | 500 E Remington Dr Ste 18, Sunnyvale, CA 94087-2611 | 2007-11-20 |
| 1780746354 | Lundy John Campbell | Anesthesiology | 512 Parnassus Ave, Room S-436, Box 0427, San Francisco, CA 94143-0001 | 2006-12-13 |
| 1407835325 | Mojdeh Talebian | Anesthesiology | 2950 Whipple Ave, #4, Redwood City, CA 94062 | 2006-01-10 |
| 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.