MRS. ANGELA KIM SO


Address: 240 Shotwell St, San Francisco, CA 94110
Phone: 4155523870

MRS. ANGELA KIM SO (NPI# 1811303191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811303191
Entity Type Individual
Full Name MRS. ANGELA KIM SO
Credential CPNP
Practice Address 240 Shotwell St
San Francisco
CA 94110
Mailing Address 240 Shotwell St
San Francisco
CA 94110-1323
Practice Telephone 4155523870
Practice Fax Number 4155527335
Mailing Telephone 4155523870
Mailing Fax Number 4155527335
Enumeration Date 2014-07-07
Last Update Date 2019-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 95062551 CA Nursing Service Providers
N 163W00000X Registered Nurse 2267193 NY Nursing Service Providers
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
95002627 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4434 Mission St, San Francisco, CA 941121927 4154061353 4154529307

Office Location

Street Address 240 SHOTWELL ST
City SAN FRANCISCO
State CA
Zip Code 94110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548210412 Kathy Loebel Advanced Practice Midwife 240 Shotwell St, San Francisco, CA 94110-1323 2006-05-11
1154950681 Damaris Tobar Social Worker 240 Shotwell St, San Francisco, CA 94110-1323 2020-04-06
1922643865 Jacqueline Alejandra Gaytan Fangonilo Dietitian, Registered 240 Shotwell St, San Francisco, CA 94110-1323 2019-11-14
1184268732 Mary Liang Feng Dietitian, Registered 240 Shotwell St, San Francisco, CA 94110-1323 2019-11-06
1548822349 Mara Bernal Suarez Registered Nurse 240 Shotwell St, San Francisco, CA 94110-1323 2019-07-01
1841716610 Alexandra Stefans Nurse Practitioner 240 Shotwell St, San Francisco, CA 94110-1323 2017-08-14
1952823551 Michelle Laura Maddex Social Worker 240 Shotwell St, San Francisco, CA 94110-1323 2017-07-14
1356892566 Jeffrey Okamoto Dentist 240 Shotwell St, Suite 230, San Francisco, CA 94110-1323 2016-10-23
1316491558 Alyssa Vu Dentist 240 Shotwell St, San Francisco, CA 94110-1323 2016-08-04
1629466479 Jennifer Joanne Huggans-zapeta Registered Nurse 240 Shotwell St, San Francisco, CA 94110-1323 2015-01-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891302980 Deena Marlo Abramson Doula 1360 Vermont Street, San Francisco, CA 94110 2020-09-23
1740835131 Jacob Matz Orthopaedic Surgery Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 2019-08-03
1427523083 John Pier Shaw Counselor 1550 Treat Street, San Francisco, CA 94110 2018-10-10
1548743594 Ana Li Registered Nurse 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 2018-09-14
1295220283 Sarah Jane Blevins Technician, Other 1061 Valencia Street, Apt A, San Francisco, CA 94110 2018-06-22
1639688823 Rashid Belkheiri Community Health Worker 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 2017-09-20
1780107425 Allison Kimberley Tucker Orthopaedic Surgery 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 2017-07-25
1003339300 April May Moyer Student in an Organized Health Care Education/Training Program 1001 Potrero Street 6b, San Francisco, CA 94110 2017-07-19
1154851798 Anthony Jermaine Hatten Specialist 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 2017-06-15
1770012981 Cardiogram, Inc. Physiological Laboratory 375 Alabama St Ste 350, San Francisco, CA 94110 2017-06-09
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528668167 Amber Briana Curry Nurse Practitioner 1336 6th Ave, San Francisco, CA 94122-2504 2020-10-30
1922639293 Meredith Ellen Riker Nurse Practitioner 122a Highland Ave, San Francisco, CA 94110-5811 2020-01-27
1669016358 Elizabeth Lee Nurse Practitioner 1825 4th St Fl 5m5311, San Francisco, CA 94143-2350 2019-11-05
1104479385 Bridget Gramkowski Nurse Practitioner 1001 Potrero Ave Bldg 203, San Francisco, CA 94110-3518 2019-07-17
1275028110 Rachelle Elul-jones Nurse Practitioner 1518 Noriega St Ste 200, San Francisco, CA 94122-4434 2018-06-23
1831637974 Michele Brown Foster Nurse Practitioner 1975 Fourth Street, San Francisco, CA 94158 2017-02-09
1952777278 Margaret Cannon Root Nurse Practitioner 1855 4th St # A-4519, San Francisco, CA 94158-2350 2015-08-20
1710370598 Barbara Bratton Nurse Practitioner 550 16th Street, 5th Floor Box 0570, San Francisco, CA 94158-0570 2015-03-18
1073921789 Elizabeth Mcbrearty Nurse Practitioner 2120 Chestnut St Apt 1, San Francisco, CA 94123-2724 2014-07-25
1740697937 Mark David Thomas Nurse Practitioner 1534 Clay St Apt 5, San Francisco, CA 94109-3848 2014-07-19
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Competitor

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City SAN FRANCISCO
Zip Code 94110

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Dataset Information

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.

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