DR. CHANG O. KIM (NPI# 1720152507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720152507 |
| Entity Type | Individual |
| Full Name | DR. CHANG O. KIM |
| Credential | M.D. |
| Practice Address |
80 Grand Ave 5th Floor Oakland CA 94612-3725 |
| Practice Telephone | 5104516266 |
| Practice Fax Number | 5104516260 |
| Mailing Telephone | 5104516266 |
| Mailing Fax Number | 5104516260 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A82792 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780036475 | Chang Kim | Dentist | 1971 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403-6118 | 2016-07-06 |
| 1285019059 | Chang Kim | Chiropractor | 2576 Royal Ln, Dallas, TX 75229-3417 | 2015-07-22 |
| 1902242258 | Chang Sung Kim | Chiropractor | 2391 Bell Blvd Ste 205, Bayside, NY 11360-2019 | 2013-05-14 |
| 1528373511 | Chang H. Kim | Acupuncturist | 9401 Mathy Dr Ste 100, Fairfax, VA 22031 | 2010-08-13 |
| 1568641199 | Chang K Kim | Acupuncturist | 326 Reservation Rd, Suite E, Marina, CA 93933-3257 | 2007-10-31 |
| 1063516458 | Chang Nam Kim | Psychiatry & Neurology | 1200 Us Highway 46, Clifton, NJ 07013-2440 | 2006-09-07 |
| 1104883768 | Chang Kwon Kim | Surgery | 0n300 Armstrong Ln, Geneva, IL 60134-6081 | 2006-04-27 |
| 1477971430 | Chang Hoon Kim | Internal Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2014-04-06 |
| 1447375340 | Chang W Kim | Psychiatry & Neurology | 1500 Waters Pl, Bronx, NY 10461-2723 | 2007-03-20 |
| 1942339676 | Chang Choo Kim | Counselor | 35425 W Michigan Ave, Wayne, MI 48184-1687 | 2007-03-06 |
| Street Address |
80 GRAND AVE 5TH FLOOR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710954649 | William A. Billings | Orthopaedic Surgery | 80 Grand Ave, Suite 400, Oakland, CA 94612-3725 | 2006-02-28 |
| 1922543149 | Nancy Elizabeth Adams | Internal Medicine | 80 Grand Ave, Suite 600, Oakland, CA 94612-3725 | 2016-12-23 |
| 1487895777 | Oakland Sleep Center | Clinic/Center | 80 Grand Ave, Suite 200, Oakland, CA 94612-3725 | 2009-03-16 |
| 1518106996 | East Bay Special Surgery LLC | Clinic/Center | 80 Grand Ave, Suite 100, Oakland, CA 94612-3725 | 2009-02-09 |
| 1871731299 | East Bay Special Imaging Medical Group, Inc. | Clinic/Center | 80 Grand Ave, Suite 100, Oakland, CA 94612-3725 | 2009-01-22 |
| 1275747677 | Sarah Langbein | Physician Assistant | 80 Grand Ave, Oakland, CA 94612-3725 | 2007-05-09 |
| 1306968185 | Xiang Fei | Case Manager/Care Coordinator | 80 Grand Ave, Suite 610, Oakland, CA 94612 | 2007-04-04 |
| 1265572440 | Glen Kee Lau, Md Inc | Plastic Surgery | 80 Grand Ave, Ste. 810, Oakland, CA 94612-3725 | 2007-02-07 |
| 1073653150 | Glen K. Lau | Plastic Surgery | 80 Grand Ave, Ste. 810, Oakland, CA 94612-3725 | 2007-02-07 |
| 1063526119 | Jeffrey Adam Mann, M. D., Inc. | Orthopaedic Surgery | 80 Grand Ave, 5th Floor, Oakland, CA 94612-3725 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932406519 | Webster Orthopaedic Medica Group, A Professional Corporation | Orthopaedic Surgery | 3300 Webster St Ste 1201, Oakland, CA 94609-3126 | 2011-02-17 |
| 1427265198 | Jack H. Stehr, M.d., Professional Corporation | Orthopaedic Surgery | 350 30th St Ste 424, Oakland, CA 94609-3426 | 2007-05-16 |
| 1881739639 | Michael F. Charles | Orthopaedic Surgery | 180 Grand Ave Ste 100, Oakland, CA 94612-3766 | 2007-02-20 |
| 1700973708 | Albert Joseph Pepe | Orthopaedic Surgery | 69 County Rd, Oakland, ME 04963-5221 | 2006-10-10 |
| 1548278468 | Scott M Taylor | Orthopaedic Surgery | 400 29th Street, Suite #400, Oakland, CA 94609 | 2006-08-04 |
| 1114964400 | Jeffrey A. Mann | Orthopaedic Surgery | 350 30th St Ste 530, Oakland, CA 94609-3426 | 2006-06-02 |
| 1003866518 | George A. Pugh | Orthopaedic Surgery | 80 Grand Ave Fl 5, Oakland, CA 94612-3725 | 2006-05-12 |
| 1710954649 | William A. Billings | Orthopaedic Surgery | 80 Grand Ave, Suite 400, Oakland, CA 94612-3725 | 2006-02-28 |
| 1578540472 | Terrance Leonard Brown | Orthopaedic Surgery | 421 Fox Hills Ct, Oakland, CA 94605-5015 | 2005-12-30 |
| 1881684363 | Rakesh Donthineni | Orthopaedic Surgery | 5700 Telegraph Avenue, Suite 100, Oakland, CA 94609-1710 | 2005-10-25 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on DR. CHANG O. KIM.
| 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.