DR. SAMUEL KIM (NPI# 1922354828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922354828 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL KIM |
| Credential | M.D. |
| Practice Address |
12462 Putnam St Ste 500 Whittier CA 90602-1049 |
| Practice Telephone | 5627895449 |
| Mailing Telephone | 5627895449 |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A160112 | CA | Allopathic & Osteopathic Physicians |
| 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 |
12462 PUTNAM ST STE 500 |
| City | WHITTIER |
| State | CA |
| Zip Code | 90602-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164486296 | Richard Thao Hoang | Physician Assistant | 12462 Putnam St Ste 500, Whittier, CA 90602 | 2006-04-14 |
| 1568729184 | Rayan Eshaghian | Surgery | 12462 Putnam St Ste 500, Whittier, CA 90602-1049 | 2012-04-20 |
| 1861641953 | Jonathan Wilson Boyd | Otolaryngology | 12462 Putnam St Ste 500, Whittier, CA 90602-1049 | 2008-09-12 |
| 1376699504 | Justin David Braverman | Surgery | 12462 Putnam St Ste 500, Whittier, CA 90602-1049 | 2007-01-29 |
| 1538251681 | Sanchayeeta Mitra | Otolaryngology | 12462 Putnam St Ste 500, Whittier, CA 90602-1049 | 2006-09-28 |
| 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 |
| Find all providers in zip 90602 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174763643 | Courtney Anne Vito | Surgery | 12462 Putnam St Ste 501, Whittier, CA 90602-1049 | 2009-02-24 |
| 1881776540 | Alvin Carl Shon | Surgery | 7957 Painter Ave, Suite 102, Whittier, CA 90602-2434 | 2006-10-20 |
| 1902992001 | Herman Lewis Smith | Surgery | 14350 E Whittier Blvd 325, Whittier, CA 90605-2151 | 2006-10-05 |
| 1568729184 | Rayan Eshaghian | Surgery | 12462 Putnam St Ste 500, Whittier, CA 90602-1049 | 2012-04-20 |
| 1225231137 | Kennith O. Thompson | Surgery | 7957 Painter Ave, Suite 102, Whittier, CA 90602-2434 | 2007-06-07 |
| 1710107842 | Hose Kim | Surgery | 6712 Friends Ave, Whittier, CA 90601-4432 | 2007-04-30 |
| 1902924905 | Charles M. Garner, M.d. | Surgery | 14350 Whittier Blvd, 325, Whittier, CA 90605-2138 | 2007-03-27 |
| 1417074683 | Eduardo A Tovar, M.d. A Medical Corp | Surgery | 12462 Putnam St., Suite 200, Whittier, CA 90602-1002 | 2007-03-23 |
| 1376699504 | Justin David Braverman | Surgery | 12462 Putnam St Ste 500, Whittier, CA 90602-1049 | 2007-01-29 |
| 1063588119 | Charles Wayne Ray | Surgery | 12291 Washington Blvd, Suite 500, Whittier, CA 90606-2500 | 2006-11-28 |
| Find all providers in WHITTIER | ||||
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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.