EDWIN KIM (NPI# 1790197051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790197051 |
| Entity Type | Individual |
| Full Name | EDWIN KIM |
| Credential | MD |
| Practice Address |
400 N Pepper Ave Colton CA 92324-1801 |
| Mailing Address |
Po Box 670 Redlands CA 92373-0221 |
| Practice Telephone | 9094275626 |
| Mailing Telephone | 9095803353 |
| Mailing Fax Number | 9095801363 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A142048 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558403709 | Edwin Kim | Dentist | 81-990 Halekii St #7, Kealakekua, HI 96750 | 2007-02-13 |
| 1891235388 | Edwin Gi Lim Kim | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2017-03-02 |
| 1134549504 | Edwin Kim | Psychiatry & Neurology | 3535 Market St Fl 5, Philadelphia, PA 19104-3345 | 2014-04-23 |
| 1568884260 | Edwin Kim | Acupuncturist | 18312 Beach Blvd, Huntington Beach, CA 92648-1311 | 2014-01-15 |
| 1366710378 | Edwin J Kim | Pharmacist | 959 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2011-12-05 |
| 1659577070 | Edwin H Kim | Allergy & Immunology | 6013 Farrington Rd, Suite 300, Chapel Hill, NC 27517-8172 | 2007-06-22 |
| 1912977034 | Edwin H. Kim | Radiology | 8629 Sudley Rd, Suite 102, Manassas, VA 20110-4590 | 2006-01-23 |
| Street Address |
400 N PEPPER AVE |
| City | COLTON |
| State | CA |
| Zip Code | 92324-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781169 | Arrowhead Regional Medical Center | General Acute Care Hospital | 400 N Pepper Ave, Colton, CA 92324-1801 | 2005-06-21 |
| 1841891710 | Hlahla Myet Thwe | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1819 | 2020-11-05 |
| 1184224164 | Tooyin A Owolabi | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1154921138 | Danny Teng | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1043818370 | Jeanne Emily Curtis | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-09 |
| 1891302071 | Mary Suzanne Delahanty | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-30 |
| 1851905301 | Magna Dyllis Ajube | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-02 |
| 1215540133 | Tiffany Marie Bunting | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-29 |
| 1033729157 | Radji Galang | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-04 |
| 1235747122 | Emily Nguyen Shimamoto | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942860853 | A J Rogers, Md, Inc | Surgery | 1550 E Washington St Ste 101, Colton, CA 92324-4624 | 2019-06-13 |
| 1578673489 | Ancel J. Rogers | Surgery | 1550 E Washington St, Suite 101, Colton, CA 92324-4624 | 2006-08-30 |
| 1831114974 | Steven Lyle Miller | Surgery | 2571 Malibu Ct, Colton, CA 92324-9788 | 2006-07-12 |
| 1104866748 | Farabi M. Hussain | Surgery | 400 N. Pepper Ave., Surgery - Mob 308, Colton, CA 92324 | 2006-06-08 |
| 1679573711 | Gregory Thomas Harshbarger | Surgery | 1671 Walter Ct, Colton, CA 92324-4847 | 2005-07-29 |
| 1295204535 | Medical Youth Foundation Inc | Surgery | 400 N Pepper Ave, Colton, CA 92324-1801 | 2018-11-15 |
| 1750800553 | Olga Lebedevskiy | Surgery | 400 N Pepper Ave, Colton, CA 92324-1801 | 2017-09-12 |
| 1154768026 | Bindupriya Chandrasekaran | Surgery | 400 N Pepper Ave, Arrowhead Regional Medical Center General Surgery, Colton, CA 92324-1801 | 2013-05-31 |
| 1851658389 | Brandon John-starr Woodward | Surgery | 400 N Pepper Ave, Colton, CA 92324-1801 | 2012-04-22 |
| 1902163710 | Matthew D Whealon | Surgery | 400 N. Pepper Ave., Mob Suite 308, Colton, CA 92324-1801 | 2012-04-18 |
| Find all providers in COLTON | ||||
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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.