DR. SAM Y.H. KIM (NPI# 1073540621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073540621 |
| Entity Type | Individual |
| Full Name | DR. SAM Y.H. KIM |
| Credential | DDS |
| Practice Address |
4941 Olivehurst Ave Olivehurst CA 95961-4225 |
| Mailing Address |
12613 Lincolnshire Dr Bakersfield CA 93311-9586 |
| Practice Telephone | 5307434611 |
| Mailing Telephone | 7025617996 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
28438 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 2nd St, Rosenberg, TX 774713401 | 2813425020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376186080 | Sam Eunwoo Kim | Physical Therapist | 1429 N 15th St Apt 2f, Philadelphia, PA 19121-4354 | 2019-10-25 |
| 1821264284 | Sam Kim | Acupuncturist | 6290 Abbotts Bridge Rd Ste 203, Johns Creek, GA 30097-1750 | 2008-05-06 |
| 1194917435 | Sam Yong Kim | Acupuncturist | 4269 W 3rd St, Los Angeles, CA 90020-3448 | 2007-08-10 |
| 1114122645 | Sam Yong Kim | Military Health Care Provider | Box 555697, Camp Pendleton, CA 92055 | 2007-06-15 |
| 1558307579 | Sam Kwang Kim | Pediatrics | 228 Roseberry St, Suite # 3, Phillipsburg, NJ 08865-1687 | 2006-06-20 |
| 1528348695 | Sam Dk Kim | Dentist | 1412 Sw 43rd St, Idc Medical Plaza, #109, Renton, WA 98057-4803 | 2011-08-22 |
| 1134364086 | Sam Kim | Occupational Therapist | 6901 N 72nd St, Omaha, NE 68122-1709 | 2008-12-06 |
| 1184776569 | Sam K. Kim | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-01-17 |
| 1932256559 | Sam Kim | Chiropractor | 620 Alabama St, Redlands, CA 92373-8059 | 2007-01-04 |
| 1851454615 | Sam Y Kim | Otolaryngology | 1919 Lathrop St, Ste 103, Fairbanks, AK 99701-5937 | 2006-12-19 |
| Street Address |
4941 OLIVEHURST AVE |
| City | OLIVEHURST |
| State | CA |
| Zip Code | 95961-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356325120 | Karl F. Valrey | Internal Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2005-12-05 |
| 1447772124 | Kimberly D Wilson | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2017-07-13 |
| 1790229391 | Srikanth Kolli | Chiropractor | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2016-12-15 |
| 1932579943 | Sara Marie Skinner | Nurse Practitioner | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2015-10-02 |
| 1346510419 | Kaneshka Alamshahi | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2012-01-06 |
| 1609195270 | Tiffany N Winters | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2010-05-21 |
| 1396981692 | Gursharon Kaur Gill | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2008-12-17 |
| 1356443485 | Huy Q Phung | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-09-01 |
| 1053423202 | Harpreet K Johl | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-08-31 |
| 1407875487 | Indira Grey | Physician Assistant | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596315 | Shelby Marie Mclaughlin | Counselor | 471 Century Park Drive B, Yuba City, CA 95961 | 2019-03-07 |
| 1780125583 | Elia Moreno Thomas | Counselor | 1754 Skinner Ave, Olivehurst, CA 95961 | 2017-03-13 |
| 1356652549 | Hyesung Han | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961 | 2010-06-23 |
| 1225283195 | Pao Choua Lor | Driver | 4552 Meadow Wy, Olivehurst, CA 95961 | 2008-11-19 |
| 1235385725 | Thera Lynn Hampton | Specialist | 1345 Lady Fern St., Plumas Lake, CA 95961 | 2008-08-15 |
| 1841444049 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 5075 Olivehurst Avenue, Olivehurst, CA 95961-4023 | 2008-11-14 |
| 1699382192 | Ryan Sauer | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2020-09-28 |
| 1649721648 | Vandana Chaudhari | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2016-10-14 |
| 1679880850 | Tilak Baviskar | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2010-09-08 |
| 1255464871 | Olivehurst Drug Store Inc | Pharmacy | 4897 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2007-03-13 |
| Find all providers in zip 95961 | ||||
| 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 |
|---|---|---|---|---|
| 1306821343 | Diane C Schill | Dentist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2005-12-13 |
| 1487639787 | Lauren G Kondo | Dentist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
| 1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | OLIVEHURST |
| Zip Code | 95961 |
Please comment or provide details below to improve the information on DR. SAM Y.H. KIM.
| 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.