Kim Clara Ricks

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in CA

Legal business name

KIM CLARA RICKS

Doing business as

Kim's Medical Supplies

Practice address

24281 Sunnymead Blvd
Moreno Valley, CA 92553-3029

Phone

(951) 247-4776

Fax

(951) 247-7037

NPI assigned

Sep 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kim Clara Ricks

Title

Owner

Phone

(951) 247-4776

Specialties & licenses 1

Addresses

Other names 1

• Kim's Medical Supplies Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1528167129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24281 SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533029",
            "telephone_number": "951-247-4776",
            "fax_number": "951-247-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24281 SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533029",
            "telephone_number": "951-247-4776",
            "fax_number": "951-247-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM CLARA RICKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "CLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-247-4776",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim's Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Marie Kiecolt, MFT-TRAINEE
• Monika Lynne Kief-Garcia, M.D.
• Alexandria Nantongo Kiggundu
• Velen Killgore
• Kim & Park a Dental Corporation (moreno dental care)
• Alex Kim, MD
• Andrew Min Kim, MD
• Bo Y Kim, L.AC.
• Daniel Il-Sun Kim, M.D.
• David D Kim, MD

• Durable Medical Equipment & Medical Supplies in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.