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DR. SAM Y.H. KIM DDS
NPI 1073540621
Dentist - General Practice in Olivehurst, CA

Active since June 27, 2006PECOS Enrolled
4941 OLIVEHURST AVE, OLIVEHURST, CA 95961(530) 743-4611 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2021, May 8, 2020, Nov 11, 2015 (3 updates tracked since 2015).

About Dr. Sam Y.h. Kim Dds NPPES

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

DR. SAM Y.H. KIM DDS (NPI 1073540621) is an individual general practice provider in Olivehurst, California, licensed in California (46396) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rosenberg.

NPPES Registry Identity

NPI1073540621
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAM Y.H. KIMCredential: DDS
Location Address4941 OLIVEHURST AVEOlivehurst, CA 95961-4225
Mailing Address12613 Lincolnshire DrBakersfield, CA 93311-9586 · (702) 561-7996
Phone(530) 743-4611
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 14, 20213 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1073540621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 46396✔ Licensed in TX · 28438
Definition
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.
4941 OLIVEHURST AVE, Olivehurst, CA 95961
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Secondary Practice Location 1

Location 11111 2nd StRosenberg, TX 77471-3401 · Phone (281) 342-5020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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. Sam Y.h. Kim Dds 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 95961 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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 20

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

HARPREET K JOHL MD
Family Medicine
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Yuba County (530) 743-4611
FRANCISCO HERNANDEZ MARTINEZ PA
Physician Assistant (Medical)
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Yuba County (530) 743-4611
GARY R. AMATANGELO D.D.S.
Dentist
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Yuba County (530) 743-4614
KIMBERLEE KAE FRITZ FNP
Nurse Practitioner
4941 OLIVEHURST AVE, AMPLA HEALTH LINDHURST MEDICAL & DENTAL
OLIVEHURST, CA 95961
Yuba County (530) 743-4611
DWAYNE P VANDERBERG M.D.
Internal Medicine
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Yuba County (530) 743-4611
BELQUIS AMANI PA
Physician Assistant
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Yuba County (530) 743-4611
VONDA KAY TREAT NP
Nurse Practitioner
4941 OLIVEHURST AVE, STE 600
OLIVEHURST, CA 95961
Yuba County (530) 743-4611
DIANE C SCHILL D.D.S
Dentist (General Practice)
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Yuba County (530) 743-4614

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 Sam Kim's NPI number?

The NPI number for Sam Kim is 1073540621. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Sam Kim located?

Sam Kim practices at 4941 Olivehurst Ave, Olivehurst, CA 95961. The listed phone number is (530) 743-4611.

What is Sam Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sam Kim enrolled in Medicare?

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

What insurance does Sam Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Sam Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sam Kim was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.