Michael J Kim (NPI# 1073951190, PAC ID# 8325335870) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1073951190 |
| PAC ID by PECOS | 8325335870 |
| Professional Enrollment ID | I20160927001000 |
| Full Name | Michael J Kim |
| Organization Legal Name | FAMILY FOOT CENTER PODIATRY GROUP INC. |
| Address |
728 N Euclid Ave Ontario CA 91762-2712 |
| Phone Number | 9099845614 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0042429375 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050099 | SAN ANTONIO REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 728 N Euclid Ave, Ontario, CA 91762-2712 | 9099845614 | FAMILY FOOT CENTER PODIATRY GROUP INC. |
| Organization Legal Name | FAMILY FOOT CENTER PODIATRY GROUP INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francisco G Mendivil-moreno | Podiatry | Family Foot Center Podiatry Group Inc. | 728 N Euclid Ave, Ontario, CA 91762-2712 |
| Vanessa M Taylor | Podiatry | Family Foot Center Podiatry Group Inc. | 728 N Euclid Ave, Ontario, CA 91762-2712 |
| Street Address |
728 N EUCLID AVE |
| City | ONTARIO |
| State | CA |
| Zip | 91762-2712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad A Katzman | Podiatry | 728 N Euclid Ave, Ontario, CA 91762-2712 | |
| Francisco G Mendivil-moreno | Podiatry | Family Foot Center Podiatry Group Inc. | 728 N Euclid Ave, Ontario, CA 91762-2712 |
| Vanessa M Taylor | Podiatry | Family Foot Center Podiatry Group Inc. | 728 N Euclid Ave, Ontario, CA 91762-2712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis A Chuck | Ophthalmology | 1211 W 6th St, Ontario, CA 91762-1103 | |
| Chi L Tsay | Anesthesiology | 1211 W 6th St, Ontario, CA 91762-1103 | |
| Stuart M Mann | Optometry | 1131 W 6th St, Suite 150, Ontario, CA 91762-1116 | |
| Gloria Sudeta | Nurse Practitioner | Nagasamudra S Ashok Md Inc | 1520 N Mountain Ave, F128 Upland Ontario Medical Clinic, Ontario, CA 91762-1128 |
| Brian Wong | Podiatry | 1520 N Mountain Ave, E122, Ontario, CA 91762-1128 | |
| Michael L Wach | Podiatry | 1520 N Mountain, Ave Bldg E Suite 122, Ontario, CA 91762-1132 | |
| Michael Aaron Lalezarian | Diagnostic Radiology | Abid Hameed Khan Md Professional Corporation | 1001 W 6th St, Suite 1, Ontario, CA 91762-1213 |
| Abid Hammed Khan | Nephrology | Abid Hameed Khan Md Professional Corporation | 1001 W 6th St, Suite 1, Ontario, CA 91762-1213 |
| Cristian Santizo | Family Practice | Healthpointe Medical Group, Inc. | 754 N Mountain Ave, Ontario, CA 91762-2544 |
| Carlos Gonzalez | Physical Therapy | Healthpointe Medical Group, Inc. | 754 N Mountain Ave, Ontario, CA 91762-2544 |
| Find all physicians in zip 91762 | |||
| City | ONTARIO |
| Zip Code | 91762 |
| Specialty | PODIATRY |
| City + Specialty | ONTARIO + PODIATRY |
Please comment or provide details below to improve the information on Michael J 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.