SAMUEL KIM
NPI 1760983407
Case Manager/Care Coordinator in San Jose, CA

Q: What is Samuel Kim's NPI number?

The NPI number for Samuel Kim is 1760983407. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Q: What is Samuel Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Kim was last updated on December 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 27, 2018

2001 THE ALAMEDA, SAN JOSE, CA 95126(408) 261-7777 Get Directions Write a Review

NPPES record last updated: December 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samuel Kim NPPES

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

SAMUEL KIM (NPI 1760983407) is an individual case manager/care coordinator provider in San Jose, California and active in the NPI registry since February 2018. He maintains a secondary practice location in Fremont.

NPPES Registry Identity

NPI1760983407

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameSAMUEL KIM

Location Address2001 THE ALAMEDASan Jose, CA 95126-1136

Mailing Address605 Sorenson Rd Apt 37Hayward, CA 94544-3045 · (510) 557-4980

Phone(408) 261-7777

Sole ProprietorNo

Enumeration DateFebruary 27, 2018

Last NPPES UpdateDecember 30, 2023

NPPES CertifiedDecember 30, 2023

✔ NPI 1760983407 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.

2001 THE ALAMEDA, San Jose, CA 95126

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Secondary Practice Location 1

Location 139001 Sundale DrFremont, CA 94538-2005 · Phone (510) 796-1100

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.

EDNA STOK

Student in an Organized Health Care Education/Training Program