DR. JI YOUNG KIM (NPI# 1821569153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821569153 |
| Entity Type | Individual |
| Full Name | DR. JI YOUNG KIM |
| Credential | DMD, MS |
| Practice Address |
122 Saratoga Ave Santa Clara CA 95051-7385 |
| Mailing Address |
1020 Yates Way Apt 102 San Mateo CA 94403-1595 |
| Practice Telephone | 4085561333 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DDS62922 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1711 Homestead Rd, Unit 175, Santa Clara, CA 95050 | 4082472612 | |
| 730 Story Rod, Unit 5, San Jose, CA 95122 | 4089981088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053827659 | Ji Young Kim | Pharmacist | 1555 Main St Apt 202, Rahway, NJ 07065-4070 | 2017-12-18 |
| 1700259785 | Ji Young Kim | Acupuncturist | 192-15a 64th Cir. #1a, Fresh Meadows, NY 11365 | 2015-11-12 |
| 1033729579 | Ji Young Kim | Pharmacist | 228 Mountain Rd, Fallston, MD 21047-2840 | 2020-08-07 |
| 1053840173 | Ji Young Kim | Pharmacist | 2737 E Mckellips Rd, Mesa, AZ 85213-3016 | 2017-06-12 |
| 1104364413 | Ji Young Kim | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2017-02-07 |
| 1568823169 | Ji Young Kim | Pharmacist | 3370 Sugarloaf Pkwy, Lawrenceville, GA 30044-5478 | 2016-03-10 |
| 1265812234 | Ji Young Kim | Counselor | 12335 Hymeadow Dr, Suite 450, Austin, TX 78750-1934 | 2015-06-04 |
| 1548692593 | Ji Young Kim | Nurse Practitioner | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2013-08-01 |
| 1285989244 | Ji Young Kim | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2012-07-16 |
| Street Address |
122 SARATOGA AVE |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95051-7385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841401841 | Northern Dental Lj Feld | Dentist | 122 Saratoga Ave, Santa Clara, CA 95051-7305 | 2007-05-24 |
| 1407401037 | Suman Ramakumar Dds Inc | Dentist | 122 Saratoga Ave, Santa Clara, CA 95051-7385 | 2019-08-09 |
| 1659718542 | Bashar Azar | Dentist | 122 Saratoga Ave, Santa Clara, CA 95051-7385 | 2013-05-31 |
| 1508132408 | Shivani Anand | Dentist | 122 Saratoga Ave, Santa Clara, CA 95051-7385 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043773690 | Christian Hamm | Pharmacist | Kaiser Permanente Medical Center Santa Clara, Dept 362 (inpatient Pharmacy), 710 Lawrence Expressway, Santa Clara, CA 95051 | 2019-04-10 |
| 1053879692 | Jiaqi Weng | Acupuncturist | 2062 Walsh Ave Suite B2, San Clare, CA 95051 | 2019-03-02 |
| 1699293209 | Leslie Avalos | Massage Therapist | 3530 Lochnivar Ave, Santa Clara, CA 95051 | 2017-09-04 |
| 1831552843 | Miral Neel Patel | Physical Therapist | 2737 Walsh Avenue, Alliance Occupational Medicine, Santa Clara, CA 95051 | 2016-03-29 |
| 1861831117 | Alison Wong | Emergency Medicine | 700 Lawrence Expy Dept 100, Santa Clara, CA 95051 | 2013-06-20 |
| 1073889291 | Brittany Lee Bianchi | Speech-Language Pathologist | 3775 Flora Vista Ave, Apt. 501, Santa Clara, CA 95051 | 2012-04-02 |
| 1124390067 | Karo Isajan | Chiropractor | 5145 Stevens Creek Blvd Ste 130, Santa Clara, CA 95051 | 2012-02-08 |
| 1598054991 | David Phillip Guo | Urology | 710 Lawrence Expy Dept 448, Santa Clara, CA 95051 | 2011-04-06 |
| 1043528573 | Jennifer Hui Young | Chiropractor | 2342 Walsh Ave, Santa Clara, CA 95051 | 2010-09-17 |
| 1386961217 | Assefa Gebremichael | Pharmacist | 1000 Kiely Blvd, #91, Santa Clara, CA 95051 | 2010-05-03 |
| Find all providers in zip 95051 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083822654 | Edward A. Avakoff D.d.s., Inc. | Dentist | 1080 Scott Blvd Ste 4, Santa Clara, CA 95050-5237 | 2007-05-18 |
| 1134268295 | Wayne Setsuo Hane | Dentist | 2790 Newhall St, Santa Clara, CA 95050-5600 | 2007-02-05 |
| 1235347584 | Edward A. Avakoff Jr. | Dentist | 1080 Scott Blvd Ste 4, Santa Clara, CA 95050-5237 | 2007-05-18 |
| 1174736748 | Yi-chen Liu | Dentist | 1080 Scott Blvd, Suite 4, Santa Clara, CA 95050-5237 | 2007-05-08 |
| 1104983485 | Kendall Eugene James | Dentist | 785 Kiely Blvd, Santa Clara, CA 95051-5744 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CLARA |
| Zip Code | 95051 |
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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.