Active NPI
Serim Kang
- Driver
- Stockton, CA
National Provider Identifier
1700332905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 4222 N Pershing Ave
Suite D2
Stockton, CA 95204 - Phone
- (916) 953-8472
- NPI assigned
- Aug 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
4222 N Pershing Ave
Suite D2
Stockton, CA 95204
Mailing address
1618 E 9TH St
Stockton, CA 95206-3337
Phone (916) 752-2140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1700332905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 E 9TH ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952063337",
"telephone_number": "916-752-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4222 N PERSHING AVE",
"address_2": "SUITE D2",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95204",
"telephone_number": "916-953-8472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "SERIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.