MR. DAVID Y KIM (NPI# 1922035948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922035948 |
| Entity Type | Individual |
| Full Name | MR. DAVID Y KIM |
| Credential | PA-C |
| Practice Address |
1365 S Grand Ave Glendora CA 91740-5047 |
| Practice Telephone | 6268572580 |
| Mailing Telephone | 6268572580 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2014-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA17440 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1578106852 | David H Kim | Dentist | 2058 Kings Cross Ln, Cordova, TN 38016-5176 | 2019-10-19 |
| 1194378877 | David S Kim | Dentist | 121 Tatham Rd, Bensalem, PA 19020-1641 | 2019-07-22 |
| 1790341691 | David Kim | Physician Assistant | 993f Johnson Ferry Rd Ste 210, Atlanta, GA 30342-1602 | 2019-05-15 |
| 1316407539 | David Kim | Behavior Technician | 6056 Delaware Park Ct, Eastvale, CA 92880-0984 | 2019-03-22 |
| 1104398593 | David Solomon Kim | Acupuncturist | 3520 147th St Ph 1f, Flushing, NY 11354-3773 | 2018-12-22 |
| 1942738935 | David Kim | Social Worker | 45 Douglass St # 3, Brooklyn, NY 11231-4716 | 2017-06-02 |
| 1841673936 | David Hoyeon Kim | Dentist | 1234 Devonshire Ln, La Habra, CA 90631-7421 | 2015-07-07 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1114318383 | David Tae Hun Kim | Dentist | 736 Tangelo Way, Fullerton, CA 92832-2630 | 2015-02-10 |
| Street Address |
1365 S GRAND AVE |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114426285 | Lina Marcela Rios Restrepo | Nurse Practitioner | 1365 S Grand Ave, Glendora, CA 91740-5047 | 2018-02-05 |
| 1306148150 | Elizabeth Soria-palacios | Physician Assistant | 1365 S Grand Ave, Glendora, CA 91740-5047 | 2010-11-30 |
| 1326349960 | David Abovian | Physician Assistant | 1365 S Grand Ave, Glendora, CA 91740-5047 | 2010-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| Find all providers in zip 91740 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461100 | Tiana Abouchedid | Physician Assistant | 1130 Kregmont Dr, Glendora, CA 91741-2249 | 2020-03-11 |
| 1720456726 | Acacia Sutherland | Physician Assistant | 543 W Leeside St, Glendora, CA 91741-4230 | 2015-09-08 |
| 1154491074 | Deina Inman Stewart | Physician Assistant | 1365 S. Grand Avenue, Glendora, CA 91740 | 2006-11-08 |
| 1841648573 | Robert Cory Zapotosky | Physician Assistant | 210 S Grand Ave, Glendora, CA 91741-4205 | 2016-06-03 |
| 1134590342 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 250 S Grand Ave, Glendora, CA 91741-4218 | 2015-10-14 |
| 1346635372 | Candace Hope Mcfarlin | Physician Assistant | 2301 E Foothill Blvd, Suite 100, Glendora, CA 91740-4000 | 2015-04-06 |
| 1457753519 | Jason Wagner | Physician Assistant | 2025 E Route 66, Glendora, CA 91740-4670 | 2014-09-19 |
| 1346672680 | Amanda E Duncan | Physician Assistant | 2301 E Foothill Blvd, Glendora, CA 91740-4000 | 2013-08-08 |
| 1275886715 | Ashlene Janiece Korcek | Physician Assistant | 2301 E Foothill Blvd, Suite 100, Glendora, CA 91740-4000 | 2012-10-22 |
| 1326349960 | David Abovian | Physician Assistant | 1365 S Grand Ave, Glendora, CA 91740-5047 | 2010-11-13 |
| Find all providers in GLENDORA | ||||
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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.