SAMUEL IM (NPI# 1790839496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790839496 |
| Entity Type | Individual |
| Full Name | SAMUEL IM |
| Credential | M.D. |
| Practice Address |
12462 Putnam St Suite 303 Whittier CA 90602-1048 |
| Mailing Address |
Po Box 4316 Cerritos CA 90703-4316 |
| Practice Telephone | 5629001012 |
| Practice Fax Number | 5627894440 |
| Mailing Telephone | 5629001012 |
| Mailing Fax Number | 5627894440 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
A71341 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12462 PUTNAM ST SUITE 303 |
| City | WHITTIER |
| State | CA |
| Zip Code | 90602-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364968 | Neil Elliot Klein | Plastic Surgery | 12462 Putnam St, Ste 501, Whittier, CA 90602-1048 | 2005-05-31 |
| 1609120435 | Rosemary Rodrigues Melesko | Nurse Practitioner | 12462 Putnam St, Whittier, CA 90602-1048 | 2012-10-31 |
| 1265784698 | Angela Marie Granados | Nurse Practitioner | 12462 Putnam St, Suite #303, Whittier, CA 90602-1048 | 2012-10-09 |
| 1073835351 | Sara Soto | Obstetrics & Gynecology | 12462 Putnam St, Whittier, CA 90602-1048 | 2010-02-27 |
| 1629210364 | Christine Acornley Besel | Nurse Practitioner | 12462 Putnam St, Suite 303, Whittier, CA 90602-1048 | 2009-03-26 |
| 1356597819 | Rachael Moore | Dermatology | 12462 Putnam St, Suite 501, Whittier, CA 90602-1048 | 2008-08-14 |
| 1235398439 | Samuel S. Im, Md, Inc. | Obstetrics & Gynecology | 12462 Putnam St, Suite 303, Whittier, CA 90602-1048 | 2008-06-03 |
| 1184891830 | Patrick L Dominguez | Dermatology | 12462 Putnam St, Suite 501, Whittier, CA 90602-1048 | 2008-05-13 |
| 1457535940 | Andrew Hsiao | Orthopaedic Surgery | 12462 Putnam St, Suite 402, Whittier, CA 90602-1048 | 2007-12-20 |
| 1053505636 | Minggen Kuo | Internal Medicine | 12462 Putnam St, Suite #208, Whittier, CA 90602-1048 | 2007-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346896412 | Alexis Pettway | Specialist/Technologist | 13847 Earlham Drive, Whittier, CA 90602 | 2019-08-14 |
| 1053898486 | Bridget Joanne Islas | Case Manager/Care Coordinator | 8219 Milton Ave., Apt. D, Whittier, CA 90602 | 2018-07-27 |
| 1184175606 | Metzie America Moran | Specialist | 8135 Painter Ave Suite 201, Whittier, CA 90602 | 2016-10-19 |
| 1811348360 | Jasmine Renee Simmons | Speech-Language Pathologist | 8135 Painter Avenue, Suite #200, Whittier, CA 90602 | 2016-06-27 |
| 1194108084 | Aaronshawn Poolsaad | Optometrist | 8135 Painter Ave Ste 100, Whittier, CA 90602 | 2015-07-09 |
| 1124409677 | Alliance Orthotics & Prosthetics Inc. | Clinic/Center | 12458 East Washington Blvd, Whittier, CA 90602 | 2015-06-10 |
| 1205223567 | Maria Ursula Jarrin Lopez | Speech-Language Pathologist | 8135 Painter Avenue, Suite 201, Whittier, CA 90602 | 2015-04-23 |
| 1932595055 | Sotto Lin Weng | Acupuncturist | 7754 Painter Avenue, Whittier, CA 90602 | 2015-04-15 |
| 1770978660 | Carolyn Rumpeltes | Physician Assistant | 12462 Putnam St Ste 203, Whittier, CA 90602 | 2015-03-30 |
| 1609273671 | Anthony Razon | Specialist/Technologist | 8132 Painter Ave Ste 201, Whittier, CA 90602 | 2014-11-19 |
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| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235398439 | Samuel S. Im, Md, Inc. | Obstetrics & Gynecology | 12462 Putnam St, Suite 303, Whittier, CA 90602-1048 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727928 | Hhlp Medical Group Inc | Obstetrics & Gynecology | 500 N Garfield Ave Ste 104, Monterey Park, CA 91754-1242 | 2019-02-21 |
| 1003289919 | East Bay Gynecologic Oncology | Obstetrics & Gynecology | 105 Monte Vista Rd, Orinda, CA 94563-1619 | 2015-11-02 |
| 1760824833 | Cecil O Lynch | Obstetrics & Gynecology | 6500 Countrywoods Lane, Granite Bay, CA 95746 | 2013-07-18 |
| 1669713012 | Conley Gerard Lacey | Obstetrics & Gynecology | 1935 Stonebrook Ln, Clovis, CA 93611-5985 | 2013-03-11 |
| 1427342294 | Mae Zakhour | Obstetrics & Gynecology | 200 Ucla Medical Plz Ste 220, Los Angeles, CA 90095 | 2011-06-08 |
| 1447575568 | Kristen Marie Anderson | Obstetrics & Gynecology | 26520 Cactus Ave Ste B2020, Moreno Valley, CA 92555-3927 | 2010-03-31 |
| 1962639203 | Laurie Brunette | Obstetrics & Gynecology | 2020 Zonal Ave # Ird220, Los Angeles, CA 90089-0121 | 2009-06-13 |
| 1295977932 | Danielle D. Jandial | Obstetrics & Gynecology | 101 The City Dr., Bldg. 56, Room 260, Orange, CA 92683-1491 | 2009-03-26 |
| 1629235783 | Jeff Feng Hsu Lin | Obstetrics & Gynecology | 455 Oconnor Dr Ste 370, San Jose, CA 95128-1600 | 2008-05-16 |
| 1306038096 | Uma Chandavarkar | Obstetrics & Gynecology | 2800 L St Ste 300, Sacramento, CA 95816-5616 | 2007-08-15 |
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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.