KIM KHUC (NPI# 1962817668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962817668 |
| Entity Type | Individual |
| Full Name | KIM KHUC |
| Credential | M.D. |
| Practice Address |
2907 Chanticleer Ave Santa Cruz CA 95065-1815 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 8314772375 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A155751 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4321 N Macdill Ave, Tampa, FL 336076388 | 8138740430 | 8138743535 |
| 920 Stanton L Young Blvd # Wp2410, Oklahoma City, OK 731045036 | 4052718787 |
| Street Address |
2907 CHANTICLEER AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407835556 | Karl Christoffersen | Orthopaedic Surgery | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2006-01-16 |
| 1609415728 | Angelika Desimone | Nurse Practitioner | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2020-01-06 |
| 1184195661 | Kathryn Rae Millar | Advanced Practice Midwife | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2018-12-10 |
| 1194295469 | Aziz Rasooli | Podiatrist | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2018-11-29 |
| 1457862211 | Jill Marie Watt | Midwife | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2017-10-19 |
| 1184145666 | Angela Winston Vargas | Advanced Practice Midwife | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2017-07-05 |
| 1659723419 | Rishika Lagisetti | Podiatrist | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2016-07-05 |
| 1144607466 | Aarron Flowers | Podiatrist | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2015-05-06 |
| 1962801605 | Michelle Sanchez | Obstetrics & Gynecology | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2014-08-19 |
| 1407112188 | Melissa K Adrouny | Obstetrics & Gynecology | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
| Find all providers in zip 95065 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053753418 | Henry Milton Pearce | Obstetrics & Gynecology | 101 Mooee St., Santa Cruz, CA 95060 | 2013-07-25 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1134410525 | Michelle Marie Sablan | Obstetrics & Gynecology | 1505 Soquel Dr Ste 1, Santa Cruz, CA 95065-1716 | 2011-04-20 |
| 1740332832 | Anne-marie Jackson | Obstetrics & Gynecology | 1505 Soquel Dr Ste 5a, Santa Cruz, CA 95065-1716 | 2007-01-17 |
| 1689739054 | Masoud Mark Taslimi | Obstetrics & Gynecology | 570 Henry Cowell Dr, Santa Cruz, CA 95060-1481 | 2006-12-26 |
| 1265402093 | Kristin Ayer | Obstetrics & Gynecology | 2907 Chanticleer Avenue, Santa Cruz, CA 95065-1815 | 2006-01-24 |
| 1467432781 | Howard Salvay | Obstetrics & Gynecology | 2915 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2006-01-20 |
| 1619950953 | Nilda Moreno-ruiz | Obstetrics & Gynecology | 1779 Dominican Way, Suite B, Santa Cruz, CA 95065 | 2005-11-21 |
| 1962801605 | Michelle Sanchez | Obstetrics & Gynecology | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2014-08-19 |
| 1487060067 | Anisha Sai Sarma | Obstetrics & Gynecology | 1505 Soquel Dr Ste 1, Santa Cruz, CA 95065-1716 | 2014-07-03 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
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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.