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SAMUEL S. IM, MD, INC.
NPI 1235398439
Obstetrics & Gynecology - Gynecologic Oncology in Whittier, CA

Active since June 03, 2008
12462 PUTNAM ST, SUITE 303, WHITTIER, CA 90602(562) 900-1012(562) 789-4440 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samuel S. Im, Md, Inc. NPPES

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

SAMUEL S. IM, MD, INC. (NPI 1235398439) is a healthcare organization registered as a gynecologic oncology in Whittier, California and active in the NPI registry since June 2008. The organization lists Samuel S Im, Owner, as its authorized official.

NPPES Registry Identity

NPI1235398439
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameSAMUEL S. IM, MD, INC.
Location Address12462 PUTNAM ST, SUITE 303Whittier, CA 90602-1048
Mailing AddressPo Box 4316Cerritos, CA 90703-4316 · (562) 900-1012 · Fax (562) 789-4440
Phone(562) 900-1012
Fax(562) 789-4440
Organization SubpartNo
Authorized OfficialSamuel S ImOwner · (562) 900-1012
Enumeration DateJune 3, 2008
Last NPPES UpdateOctober 12, 2011
✔ NPI 1235398439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in CA · A71341
Definition
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.
12462 PUTNAM ST, Whittier, CA 90602
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH49953CA
Medicare PINW22447CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel S. Im, Md, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Samuel S. Im, MD, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Samuel Im, M.D.
Obstetrics/Gynecology
NPI 1790839496
12462 PUTNAM ST SUITE 303
Whittier, CA 90602
(562) 900-1012
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 S. Im, MD, Inc.'s NPI number?

The NPI number for Samuel S. Im, MD, Inc. is 1235398439. It was assigned to this organization in the NPPES registry on June 3, 2008.

Where is Samuel S. Im, MD, Inc. located?

Samuel S. Im, MD, Inc. is located at 12462 Putnam St Suite 303, Whittier, CA 90602. The listed phone number is (562) 900-1012.

What is Samuel S. Im, MD, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Samuel S. Im, MD, Inc. enrolled in Medicare?

Yes. Samuel S. Im, MD, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samuel S. Im, MD, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Samuel S. Im, MD, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samuel S. Im, MD, Inc. was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.