| 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 | 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 |