EMIL KIM (NPI# 1962017756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962017756 |
| Entity Type | Individual |
| Full Name | EMIL KIM |
| Practice Address |
2500 Fairmont Dr San Leandro CA 94578-1005 |
| Practice Telephone | 5106673000 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2500 FAIRMONT DR |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376646489 | Anne Deborah Rishon | Nurse Practitioner | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2006-09-06 |
| 1669932604 | Benito Murguia | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2019-03-25 |
| 1740798206 | Southern Alameda County Comite for Raza Mental Health | Community/Behavioral Health | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2018-01-18 |
| 1275066938 | Evelyn Sanchez | Marriage & Family Therapist | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2017-04-09 |
| 1053662106 | Chanadoll Quanisha Garrett | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2012-09-28 |
| 1245588748 | Robin Phyllis Kinney | Counselor | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2012-08-15 |
| 1528315306 | Bari Johnson-glass | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2012-08-10 |
| 1487915815 | Sonia Burns Reardon | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, Guidance Clinic, San Leandro, CA 94578-1005 | 2012-06-01 |
| 1639444201 | Claudette Langley | Counselor | 2500 Fairmont Dr, Bhcs Guidance Clinic, San Leandro, CA 94578-1005 | 2012-03-15 |
| 1033414040 | Tiffany Rae Barr | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2011-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519127 | Manveer Kaur Ubhi | Student in an Organized Health Care Education/Training Program | 16859 Robey Dr, San Leandro, CA 94578-1512 | 2020-05-08 |
| 1821626078 | Imafidon Edogun | Student in an Organized Health Care Education/Training Program | 16263 Maubert Ave, San Leandro, CA 94578-2109 | 2020-03-31 |
| 1790310308 | Ambrosio Rico Santillan | Student in an Organized Health Care Education/Training Program | 675 Dutton Ave, San Leandro, CA 94577-2030 | 2020-03-04 |
| 1962059147 | Christopher Tat | Student in an Organized Health Care Education/Training Program | 2265 Aquatic Ct, San Leandro, CA 94579-2782 | 2019-08-21 |
| 1104322700 | Marwan Al Aoudi | Student in an Organized Health Care Education/Training Program | 674 Hollyhock Dr, San Leandro, CA 94578-3817 | 2018-04-03 |
| 1679958649 | Lolita Nunn | Student in an Organized Health Care Education/Training Program | 321 Cove Ct, San Leandro, CA 94578-4625 | 2015-07-20 |
| 1285067207 | Stephanie Young | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr Fl 1, San Leandro, CA 94578-1005 | 2013-08-13 |
| 1528307477 | Aikaterini Tsapanidov | Student in an Organized Health Care Education/Training Program | 3081 Teagarden, Davis Street Family Resource Center, San Leandro, CA 94577 | 2013-02-12 |
| 1053502906 | Liza Hecht | Student in an Organized Health Care Education/Training Program | Girls Incorporated of Alameda County, 13666 East 14th Street, San Leandro, CA 94578 | 2007-08-06 |
| 1417568593 | Kiara Quintanar | Student in an Organized Health Care Education/Training Program | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-08-12 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.