JIYEON KIM (NPI# 1922206135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922206135 |
| Entity Type | Individual |
| Full Name | JIYEON KIM |
| Credential | M.D. |
| Practice Address |
4968 Booth Cir Suite 106 Irvine CA 92604-3360 |
| Practice Telephone | 9493874900 |
| Mailing Telephone | 9493874900 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2016-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | C144212 | CA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 0101256204 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215155759 | Jiyeon Kim | Acupuncturist | 2160 S Waterman Ave Ste D, San Bernardino, CA 92408-3746 | 2007-04-22 |
| 1629602172 | Jiyeon Lee Kim | Pharmacist | 2727 W North Ave, Milwaukee, WI 53208-1549 | 2020-02-24 |
| 1043780216 | Jiyeon Kim | Nurse Practitioner | 8540 S Sepulveda Blvd Ste 1100, Los Angeles, CA 90045-3819 | 2018-11-30 |
| 1154863520 | Jiyeon Kim | Nurse Practitioner | 3610 Peachtree Industrial Blvd, Suite 100, Duluth, GA 30096-4953 | 2016-11-16 |
| 1568864262 | Jiyeon J Kim | Dentist | 2262 Pacific Coast Hwy, Lomita, CA 90717-2532 | 2014-09-24 |
| Street Address |
4968 BOOTH CIR SUITE 106 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821121328 | Felice L. Gersh, M.d., Inc. | Clinic/Center | 4968 Booth Cir, 101, Irvine, CA 92604-3360 | 2007-03-13 |
| 1477004919 | Ariana Poulakos | Naturopath | 4968 Booth Cir, Suite 101, Irvine, CA 92604-3360 | 2016-10-19 |
| 1982082020 | Orange County Plastic Surgery Center, LLC | Clinic/Center | 4968 Booth Cir, Suite 103, Irvine, CA 92604-3360 | 2015-05-08 |
| 1578829024 | Mindy Michele Finfrock | Pediatrics | 4968 Booth Cir, Irvine, CA 92604-3360 | 2012-04-10 |
| 1730445313 | Song Plastic Surgery, Inc. | Surgery | 4968 Booth Cir, Suite 105, Irvine, CA 92604-3360 | 2012-04-08 |
| 1366620007 | Kyle Robert Song | Plastic Surgery | 4968 Booth Cir, Suite 105, Irvine, CA 92604-3360 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306224738 | Nicholas David Jacobson | Pediatrics | 176 Santa Louisa, Irvine, CA 92606-8855 | 2015-05-18 |
| 1134419443 | Anthony Ritchie Chuang | Pediatrics | 635 Monte Vis, Irvine, CA 92602 | 2011-04-08 |
| 1891024766 | Christine Peng | Pediatrics | 19 Spring Buck, Irvine, CA 92614-7431 | 2009-12-23 |
| 1518196328 | Cheryl Lempert-cohen | Pediatrics | 19512 Sierra Seco Rd, Irvine, CA 92603-3837 | 2009-07-14 |
| 1124264742 | Renee Stein | Pediatrics | 81 Linhaven, Irvine, CA 92602-0780 | 2009-01-02 |
| 1336335322 | Armand Widjaja | Pediatrics | 250 E Yale Loop Ste 200, Irvine, CA 92604-4697 | 2007-09-24 |
| 1598957458 | Hea In Cha | Pediatrics | 533 Cantor, Irvine, CA 92620-3842 | 2007-08-15 |
| 1790999795 | Aarathi Rangachar | Pediatrics | 4870 Barranca Pkwy Ste 300, Irvine, CA 92604 | 2007-05-09 |
| 1285858274 | Ji Yon Han | Pediatrics | 4902 Irvine Center Dr Ste 102, Irvine, CA 92604-3334 | 2007-04-12 |
| 1700901139 | Chih-kuan Wang | Pediatrics | 16300 Sand Canyon Ave Ste 811, Irvine, CA 92618-3708 | 2007-03-21 |
| Find all providers in IRVINE | ||||
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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.