DR. SAMUEL I KIM (NPI# 1609917285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609917285 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL I KIM |
| Credential | D.D.S. |
| Practice Address |
21580 Bear Valley Rd B2-2 Apple Valley CA 92308-7200 |
| Practice Telephone | 7602476007 |
| Mailing Telephone | 7602476007 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
51348 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059178 | Samuel Kim | Acupuncturist | 24904 34th Ave, Little Neck, NY 11363-1407 | 2019-12-08 |
| 1952841793 | Samuel Kim | Dentist | 3441 Burritt Way, La Crescenta, CA 91214 | 2017-02-27 |
| 1295107605 | Samuel Kim | Pharmacist | 1001 E Latham Ave Ste P, Hemet, CA 92543-4435 | 2015-10-24 |
| 1902224587 | Samuel M Kim | Internal Medicine | Weill Cornell Medicine Division of Cardiology, 520 East 70th Street, Starr Pavilion 4th Floor, New York, NY 10021-0010 | 2014-04-01 |
| 1174889141 | Samuel Hyojune Kim | Emergency Medicine | One Gustave L Levy Place, Box 1264, Mount Sinai Medical Center Box 1264, New York, NY 10029 | 2012-04-04 |
| 1023310687 | Samuel Sungwon Kim | Pediatrics | 150 N Robertson Blvd Ste 307, Beverly Hills, CA 90211-2145 | 2010-12-02 |
| 1245430206 | Samuel Hun Kim | General Acute Care Hospital | 1420 Crest Vista Dr, Monterey Park, CA 91754-4643 | 2007-07-18 |
| 1992916001 | Samuel I Kim | Dentist | 8811 W Sahara Ave Ste 100, Las Vegas, NV 89117-4813 | 2007-05-24 |
| 1184771172 | Samuel Suk Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 676 N Saint Clair St Ste 2320, Chicago, IL 60611 | 2007-01-04 |
| 1538777925 | Samuel Kim | Chiropractor | 81 Conklin St, Farmingdale, NY 11735-2502 | 2020-07-21 |
| Street Address |
21580 BEAR VALLEY RD B2-2 |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92308-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831850 | Lisa K Frandsen | Behavioral Analyst | 19794 Poppy Rd, Apple Valley, CA 92308 | 2020-08-14 |
| 1518484195 | Jennifer Redwine | Behavioral Analyst | 1905 Business Center Drive South, Unit 100, San Bernardino, CA 92308 | 2017-08-24 |
| 1508397100 | West Care Transportation | Non-emergency Medical Transport (VAN) | 15480 Straight Arrow Rd #b, Apple Valley, CA 92308 | 2017-03-24 |
| 1811346497 | E Kim Dental Corp | Dentist | 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 | 2016-06-06 |
| 1134575376 | Seth Owuor | Pharmacist | 14426 Palmdale Road, Victorville, CA 92308 | 2016-05-06 |
| 1043608763 | Kamal Ebadpour | Adult Companion | 13224 Iroquois Road, Apple Valley, CA 92308 | 2015-01-05 |
| 1487099669 | Hateem Siddiqui | Internal Medicine | 19059 Bear Valley Rd # 3, Apple Valley, CA 92308 | 2013-05-01 |
| 1225305618 | Edward N. Sianipar | Nurse Practitioner | 19059 Bear Valley Rd., #1, Apple Valley, CA 92308 | 2011-11-29 |
| 1043508559 | Southern California Primary Medical Inc | Clinic/Center | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 | 2011-07-18 |
| 1396070959 | Asghar Ali Rajani | Registered Nurse | 19059 Bear Valley Road, Apple Valley, CA 92308 | 2009-10-14 |
| Find all providers in zip 92308 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901696 | Eric Bryan Fu | Dentist | 18245 Outer Hwy 18 Ste 3, Apple Valley, CA 92307-2217 | 2019-09-19 |
| 1023504560 | Grant Joseph Schmura | Dentist | 15875 Emperor Ave Ste 100, Apple Valley, MN 55124-7860 | 2018-07-09 |
| 1124558143 | Dexter Dental Group | Dentist | 19195 Outer Hwy 18 Suite 201, Apple Valley, CA 92307-9230 | 2017-06-13 |
| 1811346497 | E Kim Dental Corp | Dentist | 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 | 2016-06-06 |
| 1659752731 | Taehoon Park Dds Inc | Dentist | 20162 Us Highway 18 Ste L, Apple Valley, CA 92307-2935 | 2015-06-15 |
| 1972902518 | Kalra Dental Corporation | Dentist | 18805 Bear Valley Rd Ste 4, Apple Valley, CA 92308-2728 | 2014-08-20 |
| 1386883353 | Marifi Maghari Pipkin,dds,inc. | Dentist | 13675 Niabi Rd, Ste. 3, Apple Valley, CA 92308-6516 | 2009-02-13 |
| 1245482223 | Joy Marie Helou | Dentist | 16098 Kamana Rd, #101, Apple Valley, CA 92307 | 2008-10-21 |
| 1184882425 | Eric Joseph Sandoval | Dentist | 22749 Us Highway 18, Suite A-1, Apple Valley, CA 92307-4303 | 2008-05-22 |
| 1356508337 | Miriam Angelina Enriquez | Dentist | 12291 Apple Valley Rd, Apple Valley, CA 92308-1701 | 2008-05-19 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 92308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.