GRACE L KIM (NPI# 1740276989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740276989 |
| Entity Type | Individual |
| Full Name | GRACE L KIM |
| Credential | M.D. |
| Practice Address |
805 Aerovista Pl Suite 106 San Luis Obispo CA 93401-7919 |
| Mailing Address |
Po Box 6406 Santa Maria CA 93456-6406 |
| Practice Telephone | 8055411595 |
| Practice Fax Number | 8055941241 |
| Mailing Telephone | 8059281731 |
| Mailing Fax Number | 8053498160 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2015-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A48699 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A486990 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407417611 | Grace Kim | Acupuncturist | 414 N Coast Highway 101, Encinitas, CA 92024-2529 | 2019-06-27 |
| 1417415662 | Grace Kim | Dietitian, Registered | 2120 Evergreen Dr, San Bruno, CA 94066-1828 | 2019-03-06 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1023405305 | Grace Eunheh Kim | Dentist | 7112 Ed Bluestein Blvd Ste 130, Austin, TX 78723-2924 | 2015-04-23 |
| 1679991897 | Grace Kim | Pediatrics | 925 E Southlake Blvd, Suite 100, Southlake, TX 76092 | 2014-04-03 |
| 1437572153 | Grace Kim | Occupational Therapist | 1607 W Redondo Beach Blvd, Gardena, CA 90247-3241 | 2014-01-31 |
| 1912335001 | Grace Jiin Kim | Acupuncturist | 61 Campbell Ave, Woodcliff Lake, NJ 07677-8061 | 2013-10-29 |
| 1255766119 | Grace Kim | Registered Nurse | 19416 37th Ave, Flushing, NY 11358-4003 | 2013-09-11 |
| 1366787103 | Grace G Kim | Physical Therapist | 375 Dover Chester Rd, Randolph, NJ 07869-3910 | 2012-12-05 |
| 1255684189 | Grace Donghwa Kim | Acupuncturist | 61 E 75th St Fl 2, New York, NY 10021-2739 | 2012-10-16 |
| Street Address |
805 AEROVISTA PL SUITE 106 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-7919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689115446 | Allysa Rueschenberg | Registered Nurse | 805 Aerovista Pl, #106, San Luis Obispo, CA 93401-7919 | 2017-03-13 |
| 1578018735 | Andrea Ripoyla | Physical Therapist | 805 Aerovista Pl, Suite 104, San Luis Obispo, CA 93401-7919 | 2016-08-17 |
| 1710354253 | Luke Phillips | Physical Therapist | 805 Aerovista Pl, Ste 104, San Luis Obispo, CA 93401-7919 | 2015-09-01 |
| 1194191494 | Taylor Leiby | Physical Therapist | 805 Aerovista Pl, Ste 104, San Luis Obispo, CA 93401-7919 | 2015-08-20 |
| 1316345275 | Jennifer Watson | Physical Therapist | 805 Aerovista Pl, Ste 104, San Luis Obispo, CA 93401-7919 | 2014-12-09 |
| 1265858385 | Brandon N Weipert | Physical Therapist | 805 Aerovista Pl, Suite 104, San Luis Obispo, CA 93401-7919 | 2014-03-13 |
| 1942571260 | Industrial Physical Therapy Specialists | Physical Therapist | 805 Aerovista Pl, Suite 104, San Luis Obispo, CA 93401-7919 | 2012-01-18 |
| 1255617544 | Blair Monell | Physician Assistant | 805 Aerovista Pl, Suite 106, San Luis Obispo, CA 93401-7919 | 2011-10-31 |
| 1659676849 | Colleen R Vecchetti | Physical Therapist | 805 Aerovista Pl, Suite 104, San Luis Obispo, CA 93401-7919 | 2011-01-19 |
| 1841488715 | Julie Baclene | Physical Therapist | 805 Aerovista Pl, #201, San Luis Obispo, CA 93401-7919 | 2007-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1477722536 | Quin Robert Hauss | Anesthesiology | 2088 Royal Way, San Luis Obispo, CA 93405-6300 | 2008-02-22 |
| 1083687354 | Paul J Wolfrom | Anesthesiology | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2006-02-08 |
| 1316923998 | Carlos Untal | Anesthesiology | 10 Santa Rosa Street, Suite 201, San Luis Obispo, CA 93405 | 2005-12-15 |
| 1326034372 | Sundarampillai Jeyanandarajan | Anesthesiology | 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2005-09-26 |
| 1871589044 | John R Phirman | Anesthesiology | 1301 Ella Street, Suite C, San Luis Obispo, CA 93401 | 2005-09-23 |
| 1184088254 | John Stevenson | Anesthesiology | 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2016-04-05 |
| 1548550767 | Andrew L Dixon | Anesthesiology | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2011-04-08 |
| 1497044200 | Christopher Fung | Anesthesiology | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2011-04-01 |
| 1164749842 | Amsurg San Luis Obispo Anesthesia, LLC | Anesthesiology | 77 Casa St, Suite 106, San Luis Obispo, CA 93405-5803 | 2010-04-21 |
| 1588996029 | Jesse Mathes Rohde | Anesthesiology | 1010 Murray Ave, Anesthesia Department, San Luis Obispo, CA 93405-1806 | 2010-02-09 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.