DR. CRISTINA L KIM (NPI# 1780233098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780233098 |
| Entity Type | Individual |
| Full Name | DR. CRISTINA L KIM |
| Credential | DNP, PNP |
| Practice Address |
4060 Fairmount Ave San Diego CA 92105-1608 |
| Practice Telephone | 6192807072 |
| Mailing Telephone | 6192807072 |
| Mailing Fax Number | 6199610804 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 95012722 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95012722 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962532481 | Cristina Kim | Dietitian, Registered | 1160 Old Peachtree Rd, Duluth, GA 30097-5125 | 2007-03-06 |
| 1649679952 | Cristina Kim | Nurse Practitioner | 1225 15th St, Santa Monica, CA 90404-1101 | 2014-08-22 |
| 1588914907 | Cristina Kim | Pediatrics | 4920 So 30th Street, Suite 103, Omaha, NE 68107-1656 | 2012-09-12 |
| 1881974681 | Cristina H Kim | Physician Assistant | 462 1st Ave, Nbv 15s5, New York, NY 10016-9196 | 2011-08-24 |
| Street Address |
4060 FAIRMOUNT AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92105-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104981 | Sombath Senethong | Family Medicine | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2005-06-16 |
| 1811594286 | Nathanael Jonathan Luna | Pharmacist | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2020-10-07 |
| 1184243420 | Soona Ko | Student in an Organized Health Care Education/Training Program | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2020-04-15 |
| 1275189110 | Jessica Wilson | Nurse Practitioner | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-08-15 |
| 1073177739 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-04-29 |
| 1982181772 | Vahid Niki | Dentist | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2018-07-24 |
| 1417446477 | Kellie Ramsey | Dentist | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2018-05-05 |
| 1528586716 | Emilia Kodiath | Dentist | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2017-09-07 |
| 1659814648 | Iran Felix | Nurse Practitioner | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2016-11-23 |
| 1265892814 | Marina Markova | Dentist | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2016-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934798 | Point Loma Nazarene University | Nurse Practitioner | Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 | 2019-10-23 |
| 1104478809 | Kristin Lynn Nichols | Counselor | 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 | 2019-07-12 |
| 1205343076 | Momentum Learning | Counselor | 3720 El Cajon Blvd., Sd, CA 92105 | 2018-01-03 |
| 1306352695 | Nathan Hien Le, Dds. Inc | Dentist | 4170 Fairmount Ave., San Diego, CA 92105 | 2017-12-21 |
| 1073038071 | Aika Mary Erlandson | Student in an Organized Health Care Education/Training Program | 5296 University Ave. Suite F-2, San Diego, CA 92105 | 2017-08-10 |
| 1457872178 | Ride-in Transport LLC | Non-emergency Medical Transport (VAN) | 4061 Fairmount Ave, San Diego, CA 92105 | 2017-07-03 |
| 1598205346 | Ahmed Mooge | Ambulance | 4061 Fairmout Ave, San Diego, CA 92105 | 2017-02-27 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
| Find all providers in zip 92105 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083116321 | Alina Shumakova | Nurse Practitioner | 7910 Frost St Ste 120, San Diego, CA 92123-2776 | 2018-03-02 |
| 1548545494 | Kyla Jan Gonzalez | Nurse Practitioner | 3020 Childrens Way # Mc5115, San Diego, CA 92123-4223 | 2011-10-11 |
| 1558699769 | Jeanne Marguerite Niner | Nurse Practitioner | 4873 Sea Lavender Way, San Diego, CA 92154-8559 | 2009-11-28 |
| 1730336827 | Zohar Mcmurtry | Nurse Practitioner | 200 W Arbor Dr Dept 8452, San Diego, CA 92103-8452 | 2008-08-20 |
| 1194905489 | Tawnya Lee Macchiarella | Nurse Practitioner | 3860 Calle Fortunada Ste 210, San Diego, CA 92123-4802 | 2007-11-05 |
| 1053519850 | Rebecca Lee Sox | Nurse Practitioner | 7910 Frost St Ste 360, San Diego, CA 92123 | 2007-07-03 |
| 1043422884 | Donna J King | Nurse Practitioner | 3071 W. Fox Run Way, San Diego, CA 92111 | 2007-05-04 |
| 1942331079 | Sandra Marie Hinesly | Nurse Practitioner | 8995 Allenbrook Way, San Diego, CA 92129-2162 | 2007-03-08 |
| 1992882906 | Mary Alice Melwak | Nurse Practitioner | 3665 Kearny Villa Rd Ste 400, San Diego, CA 92123-1955 | 2006-11-01 |
| 1790861185 | Franziska Elisabeth Spiegelberg | Nurse Practitioner | 4602 Finsen Ave, San Diego, CA 92122-2708 | 2006-10-27 |
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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.