ANGELA KIM (NPI# 1821439050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821439050 |
| Entity Type | Individual |
| Full Name | ANGELA KIM |
| Credential | M.S. |
| Practice Address |
72 Cesar Chavez Ctr Berkeley CA 94720-4280 |
| Mailing Address |
4173 Montgomery St Unit B Oakland CA 94611-5119 |
| Practice Telephone | 5106432551 |
| Mailing Telephone | 8478941394 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619450491 | Angela Kim | Nurse Practitioner | 1930 S Beverly Glen Blvd Apt 203, Los Angeles, CA 90025-5158 | 2018-09-07 |
| 1528506383 | Angela Kim | Nurse Practitioner | 955 W Imperial Hwy Ste 100, Brea, CA 92821-3814 | 2017-02-01 |
| 1578712154 | Angela Kim | Marriage & Family Therapist | 3517 Caminito Sierra Unit 102, Carlsbad, CA 92009-8654 | 2008-09-18 |
| 1497352975 | Angela Kim | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2020-10-07 |
| 1093337107 | Angela Jeewon Kim | Internal Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-12 |
| 1871066647 | Angela Kim | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2019-01-04 |
| 1437654159 | Angela J. Kim | Student in an Organized Health Care Education/Training Program | 900 S Limestone Ctw 304, Lexington, KY 40536-0293 | 2018-03-26 |
| 1649711391 | Angela Yoonha Kim | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2017-03-14 |
| 1629527767 | Angela Eunkyung Kim | Dentist | 230 E 17th St, 208, Costa Mesa, CA 92627-3824 | 2016-09-30 |
| 1275935975 | Angela Kim | Student in an Organized Health Care Education/Training Program | 1000 W Carson St # 3, Torrance, CA 90502-2004 | 2014-09-24 |
| Street Address |
72 CESAR CHAVEZ CTR |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-4280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
| Find all providers in zip 94720 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905814 | Adriana Costa | Student in an Organized Health Care Education/Training Program | 1936 Berryman St Apt B, Berkeley, CA 94709-1911 | 2020-09-06 |
| 1548871437 | Naomi Mae Wright | Student in an Organized Health Care Education/Training Program | 2461 Warring St Apt 211, Berkeley, CA 94704-2561 | 2020-08-13 |
| 1588291306 | Jake Loitz | Student in an Organized Health Care Education/Training Program | 1822 Francisco St Apt 22, Berkeley, CA 94703-1352 | 2020-03-23 |
| 1508417452 | Yvette Rico | Student in an Organized Health Care Education/Training Program | 1010 Grayson St Ste 3, Berkeley, CA 94710-2611 | 2019-09-23 |
| 1700443942 | Heather Marie Schrag | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave # 94705, Berkeley, CA 94705-1117 | 2019-05-23 |
| 1720644388 | Shafai Marriam Zarabi | Student in an Organized Health Care Education/Training Program | 1940 Parker St, Berkeley, CA 94704-3207 | 2019-05-18 |
| 1780152876 | Isabel Unanue | Student in an Organized Health Care Education/Training Program | 1936 University Ave, Berkeley, CA 94704-1054 | 2018-11-06 |
| 1669957684 | Elizabeth Blieden | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave # B, Berkeley, CA 94705-1117 | 2018-09-25 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| Find all providers in BERKELEY | ||||
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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.