SAMUEL KIM (NPI# 1528440658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528440658 |
| Entity Type | Individual |
| Full Name | SAMUEL KIM |
| Credential | M.D. |
| Practice Address |
1 Quality Dr Vacaville CA 95688-9494 |
| Mailing Address |
1800 Harrison St 7th Floor Oakland CA 94612-3429 |
| Practice Telephone | 7076244000 |
| Mailing Telephone | 5106255356 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2020-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A155420 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 W 13 Mile Rd, Royal Oak, MI 480736712 | 2488982001 |
| 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 |
| 1609917285 | Samuel I Kim | Dentist | 21580 Bear Valley Rd, B2-2, Apple Valley, CA 92308-7200 | 2007-02-08 |
| 1184771172 | Samuel Suk Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 676 N Saint Clair St Ste 2320, Chicago, IL 60611 | 2007-01-04 |
| Street Address |
1 QUALITY DR |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688-9494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332227 | Robert Charles Jacoby | Surgery | 1 Quality Dr, Vacaville, CA 95688-9494 | 2005-08-02 |
| 1538770193 | Darren Lee Watkins | Respiratory Therapist, Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-08-16 |
| 1194334151 | Bonnie Lynn Brown | Registered Nurse | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-07-27 |
| 1083222087 | Valentine D Duff | Respiratory Therapist, Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-07-16 |
| 1164056669 | Jamison Franklin Jordan | Physical Therapist | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-02-24 |
| 1376187039 | Shannon Kathleen Hennessey Bruce | Student in an Organized Health Care Education/Training Program | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-11-05 |
| 1790333870 | Krista Danielle Brown | Physical Therapist | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-08-31 |
| 1295383719 | Meghann Jean Keehner | Audiologist-Hearing Aid Fitter | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-08-28 |
| 1598310765 | Mai Feng Vang | Dietitian, Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-08-05 |
| 1447717210 | Trista Michele Vanasse | Nurse Anesthetist, Certified Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861768947 | Anisa Heravian | Emergency Medicine | 702 Hillcrest Cir, Vacaville, CA 95688-1046 | 2012-03-22 |
| 1841236072 | William James Peterson | Emergency Medicine | Vacavalley Hospital, 1000 Nut Tree Road, Vacaville, CA 95687 | 2006-06-22 |
| 1487854279 | Daniel Franklin Morris | Emergency Medicine | 1 Quality Dr, Vacaville, CA 95688-9494 | 2007-07-20 |
| 1497807614 | Aileen J. Jaber | Emergency Medicine | 1 Quality Dr, Vacaville, CA 95688-9494 | 2007-01-17 |
| 1285712000 | Jennifer L. Sperandio | Emergency Medicine | 1 Quality Dr, Vacaville, CA 95688-9494 | 2006-11-01 |
| 1841218112 | Phil Chase | Emergency Medicine | 1000 Nut Tree Rd, Vacavalley Hospital, Vacaville, CA 95687-4100 | 2006-07-17 |
| 1083650212 | Milagros Arlene Gomez | Emergency Medicine | Vacavalley Hospital, 1000 Nut Tree Road, Vacaville, CA 95687 | 2006-06-22 |
| 1508818774 | Emergency and Acute Care Medical Corporation | Emergency Medicine | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134108 | Robert Rene Gosselin | Emergency Medicine | 14017 Banner Mtn Lookout Rd, Nevada City, CA 95959-9657 | 2020-11-06 |
| 1942811260 | Peter Mann Md Inc | Emergency Medicine | 7634 Girard Ave, La Jolla, CA 92037-4420 | 2020-08-11 |
| 1356959266 | Rgx Medical | Emergency Medicine | 1050 E Cypress Ave, Burbank, CA 91501-1310 | 2020-07-16 |
| 1942825112 | Blasko Medical Consultants Inc. | Emergency Medicine | 11576 Petunia Ct, Mira Loma, CA 91752-5013 | 2020-06-12 |
| 1316561517 | Sagen Consulting, PC | Emergency Medicine | 10053 Bret Ave, Cupertino, CA 95014-3518 | 2020-06-03 |
| 1265051304 | Madhok Medical Corporation | Emergency Medicine | 2309 Noriega St # 5, San Francisco, CA 94122-4239 | 2020-04-09 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
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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.