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DR. SAMUEL SUNGWON KIM M.D.
NPI 1023310687
Pediatrics in Encino, CA

Active since December 02, 2010PECOS Enrolled
5400 BALBOA BLVD STE 326, ENCINO, CA 91316(818) 789-0941(818) 789-6726 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2026, Nov 21, 2020, Nov 5, 2020 (3 updates tracked since 2020).

About Dr. Samuel Sungwon Kim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL SUNGWON KIM M.D. (NPI 1023310687) is an individual pediatrics provider in Encino, California, licensed in California (A114873) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023310687
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SAMUEL SUNGWON KIMCredential: M.D.
Location Address5400 BALBOA BLVD STE 326Encino, CA 91316-5214
Mailing Address5400 Balboa Blvd Ste 326Encino, CA 91316-5214 · (818) 789-0941 · Fax (818) 789-6726
Phone(818) 789-0941
Fax(818) 789-6726
Sole ProprietorYes
Enumeration DateDecember 2, 2010
Last NPPES UpdateFebruary 10, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1023310687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A114873
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5400 BALBOA BLVD STE 326, Encino, CA 91316
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Other Names 1

Other Name (5)Dr. Sammy Kim M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Sungwon Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA BRUCKNER M.D.
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-8775
SAM KIM PHYSICIAN SERVICES INC
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0941
HELEN A LEDERER M.D.
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0494
DANIEL EUGENE BRUCKNER M.D.
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0495
DR. JULIA BRUCKNER D.O.
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0492
IRWIN BARRY BRUCKNER M.D.
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0492
OFIR MEKEL MD
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0499
ANDREW D. KRASNOFF M.D.
Pediatrics (Adolescent Medicine)
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-8987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Kim's NPI number?

The NPI number for Samuel Kim is 1023310687. It was assigned to this individual provider in the NPPES registry on December 2, 2010. The provider is also known as Dr. Sammy Kim M.D..

Where is Samuel Kim located?

Samuel Kim practices at 5400 Balboa Blvd Ste 326, Encino, CA 91316. The listed phone number is (818) 789-0941.

What is Samuel Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samuel Kim enrolled in Medicare?

Yes. Samuel Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Kim was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.