Grace L Kim, MD | |
805 Aerovista Pl, Suite 106, San Luis Obispo, CA 93401-7919 | |
(805) 541-1595 | |
(805) 594-1241 |
Full Name | Grace L Kim |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 805 Aerovista Pl, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740276989 | NPI | - | NPPES |
00A486990 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A48699 (California) | Primary |
Entity Name | Fidere Anesthesia Consultants Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790855161 PECOS PAC ID: 6507769593 Enrollment ID: O20040426001885 |
Entity Name | Anesthesia Medical Group Of Santa Cruz, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871541144 PECOS PAC ID: 5092807271 Enrollment ID: O20070816000914 |
Entity Name | Iqbal M Mirza Md Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417222985 PECOS PAC ID: 2163581752 Enrollment ID: O20081112000138 |
Entity Name | Silicon Valley Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427500040 PECOS PAC ID: 7618235003 Enrollment ID: O20171212001575 |
Mailing Address | Practice Location Address |
---|---|
Grace L Kim, MD Po Box 6406, Santa Maria, CA 93456-6406 Ph: (805) 928-1731 | Grace L Kim, MD 805 Aerovista Pl, Suite 106, San Luis Obispo, CA 93401-7919 Ph: (805) 541-1595 |
Dr. Curby Dirk Jenkins, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-928-1731 Fax: 805-349-8160 | |
Paul J Wolfrom, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-928-1731 | |
Mary M Stenger, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1010 Murray St, San Luis Obispo, CA 93405 Phone: 805-928-1731 Fax: 805-349-8160 | |
Saul J David, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray St, San Luis Obispo, CA 93405 Phone: 805-928-1731 Fax: 805-349-8160 | |
Dr. Matthew James Barry, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-928-1731 Fax: 805-349-8160 | |
Ryan Pieterick, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1911 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-543-5353 | |
Dr. John Stevenson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1911 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-543-5353 |