DR. KIM-OANH LY (NPI# 1962627349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962627349 |
| Entity Type | Individual |
| Full Name | DR. KIM-OANH LY |
| Credential | M.D. |
| Practice Address |
2505 W Hammer Ln Stockton CA 95209-2839 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 2095241211 |
| Practice Fax Number | 2094917584 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A85074 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2505 W HAMMER LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770022 | Daniel J Cooper | Family Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2005-09-13 |
| 1902326697 | Arpit Chandrakant Patel | Family Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2017-06-22 |
| 1477084655 | Pei Chuan Bellor-yeh | Family Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2017-03-21 |
| 1386097889 | Dherain Patel | Family Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2016-07-20 |
| 1356716179 | Sutter Valley Medical Foundation | Internal Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2015-12-04 |
| 1366827479 | Sapna Malik | Family Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2015-07-30 |
| 1770986424 | Madhuri Kasireddy | Internal Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2014-10-08 |
| 1588087738 | Seema Abbasi | Internal Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2014-01-23 |
| 1275974701 | Glenda Lando | Nurse Practitioner | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2013-07-12 |
| 1710220454 | Harsimran Singh Basra | Internal Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2013-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
| 1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
| 1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
| 1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
| 1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
| Find all providers in zip 95209 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790139566 | Peter Alan Crist | Psychiatry & Neurology | 62 Wagner Rd, Stockton, NJ 08559-1412 | 2016-04-19 |
| 1982782892 | Arudra Bodepudi | Psychiatry & Neurology | 5250 Claremont Ave Ste 103, Stockton, CA 95207-5700 | 2006-11-01 |
| 1407932742 | John Matthew Yarbrough | Psychiatry & Neurology | 510 East Magnolia Street, Suite 100, Stockton, CA 95202 | 2006-10-30 |
| 1568567105 | Suryabanu Javeed | Psychiatry & Neurology | 1212 N California Street., Stockton, CA 95202 | 2006-09-14 |
| 1134230485 | Saul B Zelan | Psychiatry & Neurology | 7707 Austin Rd, Stockton, CA 95215-8312 | 2006-08-31 |
| 1144330572 | Jerry Travis Jones | Psychiatry & Neurology | 2522 Grand Canal Blvd, #1, Stockton, CA 95207-8213 | 2006-08-30 |
| 1194799395 | Jane Fernandez | Psychiatry & Neurology | 2522 Grand Canal Blvd Ste 1, Stockton, CA 95207-8213 | 2006-02-14 |
| 1841261054 | John Fong | Psychiatry & Neurology | 1130 Monaco Ct, Stockton, CA 95207 | 2006-01-27 |
| 1972592939 | Jin R. Soofi | Psychiatry & Neurology | 1212 N California St, Stockton, CA 95202-1552 | 2005-10-20 |
| 1891795076 | Alice Park | Psychiatry & Neurology | 1305 Tommydon St, Stockton, CA 95210-3364 | 2005-07-28 |
| Find all providers in STOCKTON | ||||
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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.