KWANG SOO KIM (NPI# 1841326212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841326212 |
| Entity Type | Individual |
| Full Name | KWANG SOO KIM |
| Credential | MD |
| Practice Address |
651 Fulton Ave Sacramento CA 95825-4813 |
| Practice Telephone | 9164832525 |
| Mailing Telephone | 9164832525 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A91190 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00282743 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122812 | Kwang Kim | Student in an Organized Health Care Education/Training Program | 16201 Northern Blvd # 790, Flushing, NY 11358-1634 | 2020-04-02 |
| 1063994721 | Kwang Il Kim | Counselor | 322 Nw 5th Ave Ste 301b, Portland, OR 97209-3828 | 2018-08-29 |
| 1578956579 | Kwang Soo Kim | Radiology | 6475 N Tower Ct, Lincolnwood, IL 60712-4207 | 2015-03-15 |
| 1881901619 | Kwang Jib Kim | Dentist | 594 N. Indian Hill Blvd., Pomona, CA 91767-5302 | 2010-08-31 |
| 1417183047 | Kwang Cho Kim | Psychiatry & Neurology | 3745 Charter Pl, Ann Arbor, MI 48105-2826 | 2009-06-10 |
| 1205074838 | Kwang Han Kim | Dentist | 39150 Sundale Dr, Apt #102, Fremont, CA 94538-2068 | 2009-02-04 |
| 1861656498 | Kwang Kim | Pharmacist | 7350 N Kilbourn Ave, Lincolnwood, IL 60712-1809 | 2008-07-13 |
| 1003035114 | Kwang Seob Kim | Dentist | 18250 Colima Rd, 201, Rowland Heights, CA 91748-2602 | 2007-04-25 |
| 1578611356 | Kwang Jin Kim | Dentist | 3300 W Rosecrans Ave, Suite 105, Hawthorne, CA 90250-8218 | 2007-01-08 |
| 1356437842 | Kwang Hyun Kim | Dentist | 670 Las Gallinas Ave, San Rafael, CA 94903-3687 | 2006-10-04 |
| Street Address |
651 FULTON AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023167921 | Guy Daniel Seydel | Optometrist | 651 Fulton Ave, Sacramento, CA 95825-4813 | 2007-01-09 |
| 1841326063 | Douglas Brent Reed | Ophthalmology | 651 Fulton Ave, Sacramento, CA 95825-4813 | 2007-02-23 |
| 1194851311 | Nilufar Maboudi | Ophthalmology | 651 Fulton Ave, Sacramento, CA 95825-4813 | 2007-02-23 |
| 1487707667 | Griffin and Reed A Medical Corporation | Optometrist | 651 Fulton Ave, Sacramento, CA 95825-4813 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871909515 | Mazen Choulakian | Ophthalmology | 4680 Y St, Ste 2400, Sacramento, CA 95817-2307 | 2014-07-02 |
| 1053680934 | Michael James Skala | Ophthalmology | 2878 Fulton Avenue, Sacramento, CA 95821 | 2011-12-21 |
| 1194015800 | Neil Kelly | Ophthalmology | 3575 Garden Hwy, Sacramento, CA 95834-9608 | 2011-04-14 |
| 1427217512 | Kathryn Camille Dimiceli | Ophthalmology | 83 Scripps Dr Ste 220, Sacramento, CA 95825-6383 | 2008-06-04 |
| 1770646119 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 3939 J St Ste 104, Sacramento, CA 95819-3631 | 2006-12-18 |
| 1730253287 | Sacramento Eye Consultants | Ophthalmology | 1515 River Park Dr, Suite 100, Sacramento, CA 95815-4610 | 2006-11-17 |
| 1316025141 | John F Hills | Ophthalmology | 1238 S St., Sacramento, CA 95811 | 2006-11-01 |
| 1316025802 | Scott T. Mcfarland | Ophthalmology | 7501 Hospital Dr Ste 105, Sacramento, CA 95823-5405 | 2006-11-01 |
| 1144303801 | Stephen Kenneth Wong | Ophthalmology | 1 Scripps Dr Ste 303, Sacramento, CA 95825 | 2006-10-24 |
| 1518057108 | H Douglas Cooper | Ophthalmology | 1220 25th St, Sacramento, CA 95816-5005 | 2006-10-13 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.