KEVIN TOM (NPI# 1700910148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700910148 |
| Entity Type | Individual |
| Full Name | KEVIN TOM |
| Credential | DDS |
| Practice Address |
359 El Camino Real South San Francisco CA 94080-5923 |
| Practice Telephone | 6508733732 |
| Practice Fax Number | 6505884746 |
| Mailing Telephone | 6508733732 |
| Mailing Fax Number | 6505884746 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2014-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DV34236 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346617651 | Kevin G.y. Tom | Pharmacist | 1528 Fremont St, Stockton, CA 95205 | 2015-08-24 |
| 1730284126 | Kevin Stuart Tom | Pharmacist | 1355 Florin Rd Ste 1, Sacramento, CA 95822-4200 | 2006-09-13 |
| Street Address |
359 EL CAMINO REAL |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437703352 | Christian Norman Dav Yuzon Santa Maria | Dentist | 3535 Callan Blvd Ste A, South San Francisco, CA 94080-5118 | 2019-07-29 |
| 1861942856 | Kimberly A Liao Dds Inc | Dentist | 415 Grand Ave Ste 102, South San Francisco, CA 94080-3614 | 2016-10-13 |
| 1700244068 | Ramiz Mogannam | Dentist | 35 Vista Ct, South San Francisco, CA 94080-5549 | 2016-02-02 |
| 1235503038 | Ching Lue | Dentist | 2400 Westborough Blvd Ste 105a, South San Francisco, CA 94080-5402 | 2015-11-18 |
| 1043406283 | Moutaz Kotrob | Dentist | 1133 El Camino Real Ste 5, # B -304, South San Francisco, CA 94080-3288 | 2007-09-21 |
| 1588874663 | Leila Legaspi-odulio | Dentist | 1124 Mission Rd, South San Francisco, CA 94080-1301 | 2007-05-23 |
| 1942410014 | Sonia Rahman Mendez | Dentist | 1135 Mission Rd Ste 203, South San Francisco, CA 94080-1393 | 2007-05-23 |
| 1124235502 | Alan H Cheung | Dentist | 2226c Westborough Blvd, South San Francisco, CA 94080-5405 | 2007-05-17 |
| 1558575670 | Nicole Parsons | Dentist | 213 San Felipe Avenue, South San Francisco, CA 94080-3045 | 2007-05-09 |
| 1831310077 | Catherine M Vista | Dentist | 931 El Camino Real, South San Francisco, CA 94080 | 2007-05-02 |
| Find all providers in SOUTH SAN FRANCISCO | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
Please comment or provide details below to improve the information on KEVIN TOM.
| 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.