Jae Kim (NPI# 1841264918, PAC ID# 6709900368) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1841264918 |
| PAC ID by PECOS | 6709900368 |
| Professional Enrollment ID | I20100902001059 |
| Full Name | Jae Kim |
| Organization Legal Name | VANGUARD MEDICAL CORPORATION |
| Address |
565 Kern St Shafter CA 93263-2133 |
| Phone Number | 6617464937 |
| Gender | M |
| Graduation Year | 1971 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4587881685 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050455 | ADVENTIST HEALTH BAKERSFIELD |
| Address | Phone | Organization |
|---|---|---|
| 565 Kern St, Shafter, CA 93263-2133 | 6617464937 | VANGUARD MEDICAL CORPORATION |
| Organization Legal Name | VANGUARD MEDICAL CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chan Park | Family Medicine | Vanguard Medical Corporation | 565 Kern St, Shafter, CA 93263-2133 |
| Danessa D Thorbrogger | Nurse Practitioner | Vanguard Medical Corporation | 565 Kern St, Shafter, CA 93263-2133 |
| Alicia Eugenia Garcia | Chiropractic | Vanguard Medical Corporation | 565 Kern St, Shafter, CA 93263-2133 |
| Street Address |
565 KERN ST |
| City | SHAFTER |
| State | CA |
| Zip | 93263-2133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chan Park | Family Medicine | Vanguard Medical Corporation | 565 Kern St, Shafter, CA 93263-2133 |
| Danessa D Thorbrogger | Nurse Practitioner | Vanguard Medical Corporation | 565 Kern St, Shafter, CA 93263-2133 |
| Alicia Eugenia Garcia | Chiropractic | Vanguard Medical Corporation | 565 Kern St, Shafter, CA 93263-2133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Destiney D Campbell | Physical Therapy | Glinn and Giordano Physical Therapy Inc | 701 Central Valley Hwy, B C, Shafter, CA 93263-2028 |
| William Brian Monroe | Physical Therapy | Glinn and Giordano Physical Therapy Inc | 701 Central Valley Hwy, B C, Shafter, CA 93263-2028 |
| Tonya M Gares Matney | Physical Therapy | Glinn and Giordano Physical Therapy Inc | 701 Central Valley Hwy, B C, Shafter, CA 93263-2028 |
| Angie Teresa L Gorospe | Physical Therapy | Glinn and Giordano Physical Therapy Inc | 701 Central Valley Hwy, B C, Shafter, CA 93263-2028 |
| Talena Lank | Nurse Practitioner | Shafter Urgent Care | 501 Munzer St, Suite A, Shafter, CA 93263-2042 |
| Ayodeji Adetayo Ayeni | Pediatric Medicine | Shafter Urgent Care | 501 Munzer St, Suite A, Shafter, CA 93263-2042 |
| Katie C Mckay | Clinical Social Worker | Omni Family Health | 655 S Central Valley Hwy, Shafter, CA 93263-2790 |
| Norbert Gal | Chiropractic | Omni Family Health | 655 S Central Valley Hwy, Shafter, CA 93263-2790 |
| Dashrath P Patel | Psychiatry | Omni Family Health | 655 S Central Valley Hwy, Shafter, CA 93263-2790 |
| Raman Sandhu | Psychiatry | Omni Family Health | 655 S Central Valley Hwy, Shafter, CA 93263-2790 |
| Find all physicians in zip 93263 | |||
| City | SHAFTER |
| Zip Code | 93263 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SHAFTER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jae Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.