JIYOUNG KIM (NPI# 1942427927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942427927 |
| Entity Type | Individual |
| Full Name | JIYOUNG KIM |
| Other Name | JI YOUNG KIM |
| Credential | NP |
| Practice Address |
3801 Miranda Ave # 171 Palo Alto CA 94304-1290 |
| Practice Telephone | 6504935000 |
| Practice Fax Number | 6508588905 |
| Mailing Telephone | 6504935000 |
| Mailing Fax Number | 6508588905 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
16991 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891267944 | Jiyoung Kim | Acupuncturist | 14317 Clemson St, Moorpark, CA 93021-1356 | 2018-12-28 |
| 1356985709 | Jiyoung Kim | Acupuncturist | 3116 164th St Sw Apt 1613, Lynnwood, WA 98087-3251 | 2019-10-29 |
| 1235661448 | Jiyoung Kim | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2017-03-28 |
| 1528516259 | Jiyoung Kim | Pharmacist | 653 S State St, Ukiah, CA 95482-4912 | 2016-09-11 |
| 1104371004 | Jiyoung Kim | Spec/Tech, Pathology | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2016-08-20 |
| 1710076070 | Jiyoung Kim | Dentist | 2235 Encinitas Blvd, Suite 100, Encinitas, CA 92024-4355 | 2006-10-12 |
| Street Address |
3801 MIRANDA AVE # 171 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053555391 | Department of Veterans Affairs | Special Hospital | 3801 Miranda Ave # 171, Palo Alto, CA 94304-1207 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356880793 | Jean K Mccormack | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2017-02-17 |
| 1699033993 | Mechele Fillman | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2012-04-25 |
| 1144417551 | Abbie Loraine Layton | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2007-09-29 |
| 1821185000 | Beverly D Yee | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-10-06 |
| 1407897184 | Marion Logan | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-06-10 |
| 1093777914 | Bonnie Barbara Anderson | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-04-05 |
| 1760450936 | Susan Irene Pejoro | Nurse Practitioner | 3801 Miranda Ave, Vapahcs, Sci #128, Palo Alto, CA 94304-1207 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139109 | Lena Kazanchyan | Nurse Practitioner | 11834 Archwood St, North Hollywood, CA 91606-1603 | 2020-09-16 |
| 1740898386 | Victor De Guzman | Nurse Practitioner | 24808 Sand Wedge Ln, Valencia, CA 91355-2315 | 2020-07-20 |
| 1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
| 1518586452 | Zaruhi Harutyunyan | Nurse Practitioner | 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 | 2020-04-10 |
| 1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
| 1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
| 1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
| 1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JIYOUNG KIM.
| 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.