Active NPI 1659959203 Individual Practitioner Male Practitioner

Eugene Kim

Dentist - General Practice • Emeryville, CA

Professional Overview & Biography Verified Profile Summary

Eugene Kim is a registered healthcare professional specializing in Dentist - General Practice in Emeryville, CA. Practice services are available at 5901 CHRISTIE AVE STE 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5901 Christie Ave Ste 106

Emeryville, CA 946081952

Telephone 5096269900

Associated Practice Facility / Clinic

🏢 G.s. Randhawa D.d.s., Inc. Facility NPI 1003446642

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Emeryville, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Emeryville, CA (18734 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-29

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 108301

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA DE61325333

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Peter Loeffler

Student in an Organized Health Care Education/Training Program

NPI 1003498510

Dr. Laura Dewald , DO

Internal Medicine

NPI 1003557901

Doctor of Osteopathic Medicine (D.O.)

Dr. Jeffrey Kilcup , DO

Internal Medicine

NPI 1013536515

Doctor of Osteopathic Medicine (D.O.)

Dr. Jocelyn Mccornack , MD

Psychiatry & Neurology - Psychiatry

NPI 1013594209

Doctor of Medicine (M.D.)

Marisity Jagim-Kern , LICSWA

Social Worker - Clinical

NPI 1013830934

Dr. Kang Zhang , MD

Internal Medicine

NPI 1023304359

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location December 29, 2022

Registered at 5901 CHRISTIE AVE STE 106, EMERYVILLE, CA 946081952 (Tel: 5096269900)

📍

Updated Business Mailing Address December 29, 2022

Registered at 5901 CHRISTIE AVE STE 106, EMERYVILLE, CA 946081952

📍

Updated Business Mailing Address August 04, 2022

Registered at 15016 3RD DR SE, MILL CREEK, WA 980125396 (Tel: 9514905228)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2022

Dentist (License #DE61325333 in WA)

✅

NPI Profile Active April 01, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location April 01, 2021

Registered at 624 E FRONT AVE, SPOKANE, WA 992022139 (Tel: 5096269900)

📍

Updated Business Mailing Address April 01, 2021

Registered at 1116 BUTTONWOOD ST UNIT C, PHILADELPHIA, PA 191233482 (Tel: 9514905228)

👤

Provider Name / Credentials Updated April 01, 2021

Recorded as EUGENE KIM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2021

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 01, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659959203

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 01, 2021

Last Update: December 29, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5901 Christie Ave Ste 106

Emeryville, CA 946081952

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.