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SAMUEL KIM
NPI 1104215375
Case Manager/Care Coordinator in Pacoima, CA

Active since January 12, 2015
12450 VAN NUYS BLVD, SUITE 200, PACOIMA, CA 91331(818) 896-1161(818) 896-5069 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Kim NPPES

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

SAMUEL KIM (NPI 1104215375) is an individual case manager/care coordinator provider in Pacoima, California and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1104215375
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameSAMUEL KIM
Location Address12450 VAN NUYS BLVD, SUITE 200Pacoima, CA 91331-1391
Mailing Address12450 Van Nuys Blvd, Suite 200Pacoima, CA 91331-1391 · (818) 896-1161 · Fax (818) 896-5069
Phone(818) 896-1161
Fax(818) 896-5069
Sole ProprietorNo
Enumeration DateJanuary 12, 2015
✔ NPI 1104215375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
12450 VAN NUYS BLVD, Pacoima, CA 91331
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Other Identifiers 3

Medicaid7068CA
Medicaid6758CA
Medicaid7420CA

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.

CESAR FRANCO
Case Manager/Care Coordinator
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MRS. SUE NOVACK SORENSEN LCSW
Social Worker (Clinical)
12450 VAN NUYS BLVD, 100
PACOIMA, CA 91331
Los Angeles County (818) 896-8366
VALENTINA USUBYAN
Counselor (Mental Health)
12450 VAN NUYS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MARIA DIAZ
Peer Specialist
12450 VAN NUYS BLVD, 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MR. VERNON WOLF WINDELL MFT
Marriage & Family Therapist
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
ELENA KARENEV
Counselor (Mental Health)
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
ELANI TUCHMAN M.A.
Psychologist (Clinical)
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
SAM MAVIS
Student in an Organized Health Care Education/Training Program
12450 VAN NUYS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 896-1161

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 1104215375. It was assigned to this individual provider in the NPPES registry on January 12, 2015.

Where is Samuel Kim located?

Samuel Kim practices at 12450 Van Nuys Blvd Suite 200, Pacoima, CA 91331. The listed phone number is (818) 896-1161.

What is Samuel Kim's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Samuel Kim was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.