DR. SIMON YOON KIMM (NPI# 1952598518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952598518 |
| Entity Type | Individual |
| Full Name | DR. SIMON YOON KIMM |
| Credential | M.D. |
| Practice Address |
4000 Dublin Blvd Dublin CA 94568-3113 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 5104982886 |
| Mailing Telephone | 5104982886 |
| Mailing Fax Number | 5104982674 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A100005 | CA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 2602321 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 Kearney St, Fremont, CA 945382299 | 5104982674 | 5104982674 |
| Street Address |
4000 DUBLIN BLVD |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669459566 | Raafat K Zamary | Internal Medicine | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2005-12-30 |
| 1316590854 | Sharone Moverman | Physician Assistant | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2019-07-23 |
| 1487164174 | Amy Joy Renaud | Physical Therapist | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2017-10-06 |
| 1902355753 | Samantha Camuso | Physician Assistant | 4000 Dublin Blvd, Suite 100, Dublin, CA 94568-3113 | 2016-09-21 |
| 1487107298 | Stephen Powers | Physician Assistant | 4000 Dublin Blvd, 100, Dublin, CA 94568-3113 | 2016-07-27 |
| 1548612989 | Jonghee Shin | Registered Nurse | 4000 Dublin Blvd, Dublin, CA 94568 | 2016-07-11 |
| 1497107890 | Lisa Biga | Nurse Practitioner | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2016-07-08 |
| 1285084772 | Sonja Bauer | Physical Therapist | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2016-06-15 |
| 1295122398 | Christina Danial | Dermatology | 4000 Dublin Blvd, Dublin, CA 94568 | 2015-04-16 |
| 1225380819 | Patricia Torres | Occupational Therapist | 4000 Dublin Blvd, Suite 100, Dublin, CA 94568-3113 | 2012-10-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952578338 | Central Ohio Urology Group LLC | Urology | 7405 Hospital Drive, Suite 350, Dublin, OH 43016 | 2008-05-14 |
| 1033172648 | Edward Elam Hayes | Urology | 2301 Bellevue Rd Ste 1000, Dublin, GA 31021-2557 | 2006-04-07 |
| 1659787430 | Christopher Murphy | Urology | 7450 Hospital Dr Ste 300, Dublin, OH 43016-9687 | 2014-07-01 |
| 1134562630 | Robert Steven Gerhard | Urology | 7450 Hospital Dr Ste 300, Dublin, OH 43016 | 2013-04-15 |
| 1508121245 | Dublin Urology, LLC | Urology | 200 Fairview Park Dr, Dublin, GA 31021-2547 | 2012-07-09 |
| 1023377736 | Paul Kogan | Urology | 7450 Hospital Dr Ste 300, Dublin, OH 43016-9687 | 2012-05-15 |
| 1043338502 | Heart of Georgia Urology Associates,llc | Urology | 200 Fairview Park Dr, Dublin, GA 31021-2547 | 2007-03-26 |
| 1831227123 | Francis Savarirayan | Urology | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2007-03-01 |
| 1598844862 | Noel Douglas Weigel | Urology | 200 Fairview Park Dr, Dublin, GA 31021-2547 | 2006-11-06 |
| 1972617819 | Glenn Jackson Bridges | Urology | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2006-08-18 |
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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.