JAEWON KIM (NPI# 1902353204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902353204 |
| Entity Type | Individual |
| Full Name | JAEWON KIM |
| Practice Address |
7400 Artesia Blvd Apt 1107 Buena Park CA 90621-3963 |
| Mailing Address |
7400 Artesia Blvd Apt 1107 Buena Park CA 90621 |
| Practice Telephone | 8086360094 |
| Mailing Telephone | 8086360094 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA3462 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7400 ARTESIA BLVD APT 1107 |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621-3963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| Find all providers in zip 90621 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659855203 | Lynette Gonzalez | Occupational Therapy Assistant | 8699 Holder St, Buena Park, CA 90620-3699 | 2018-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089304 | Buenaventura Peralta | Occupational Therapy Assistant | 139 N Walnut Ave, Placentia, CA 92870-5643 | 2020-10-07 |
| 1578170619 | Noe Ramirez Lopez | Occupational Therapy Assistant | 650 Marvin Way, Dixon, CA 95620-3342 | 2020-09-23 |
| 1790391415 | Michael Vidal | Occupational Therapy Assistant | 2126 Oregon Ave, Long Beach, CA 90806-4141 | 2020-09-17 |
| 1386259273 | Rachel Le | Occupational Therapy Assistant | 11909 Elmcroft Ave, Norwalk, CA 90650-7730 | 2020-09-09 |
| 1790399913 | Alexander Toussaint | Occupational Therapy Assistant | 3731 E Harding St, Long Beach, CA 90805-3934 | 2020-09-04 |
| 1710590757 | Lisa M Smith | Occupational Therapy Assistant | 920 Westacre Rd, West Sacramento, CA 95691-3224 | 2020-08-28 |
| 1083226419 | Olivia Clark | Occupational Therapy Assistant | 2905 Bearcreek Ct, Fullerton, CA 92835-3143 | 2020-08-18 |
| 1174133961 | Pacasie Kamikazi | Occupational Therapy Assistant | 8501 Bruceville Rd, Elk Grove, CA 95758-7258 | 2020-08-06 |
| 1093323297 | Catherine Hsi | Occupational Therapy Assistant | 1241 Ashby Ave, Berkeley, CA 94702-2401 | 2020-07-14 |
| 1790302453 | Elnura Kim | Occupational Therapy Assistant | 13665 Newcastle Ct, Fontana, CA 92335-0588 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
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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.