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SAEWON KIM
NPI 1962196840
Dentist in Palmdale, CA

Active since June 05, 2023
510 W RANCHO VISTA BLVD, PALMDALE, CA 93551(661) 202-3052 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2025, Aug 18, 2024, Jun 6, 2023 (3 updates tracked since 2023).

About Saewon Kim NPPES

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

SAEWON KIM (NPI 1962196840) is an individual dentist in Palmdale, California, licensed in California (112156) and active in the NPI registry since June 2023. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962196840
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSAEWON KIM
Location Address510 W RANCHO VISTA BLVDPalmdale, CA 93551-3737
Mailing Address365 Blackshear AveEast Los Angeles, CA 90022-2307 · (323) 326-8186
Phone(661) 202-3052
Sole ProprietorNo
Enumeration DateJune 5, 2023
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1962196840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 112156
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
510 W RANCHO VISTA BLVD, Palmdale, CA 93551
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Secondary Practice Locations 3

Location 11980 N Columbia StMilledgeville, GA 31061-2020 · Phone (478) 387-7015
Location 216111 Plummer StNorth Hills, CA 91343-2036 · Phone (818) 891-7711
Location 311301 Wilshire BlvdLos Angeles, CA 90073-1003 · Phone (310) 478-3711

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 ›

Other Providers at the Same Location NPPES 6

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

CHRISTINA KASS ILIYYA
Dentist (Orthodontics and Dentofacial Orthopedics)
510 W RANCHO VISTA BLVD
PALMDALE, CA 93551
Los Angeles County (317) 820-6664
WESTERN DENTAL SERVICES, INC.
Dentist (General Practice)
510 W RANCHO VISTA BLVD
PALMDALE, CA 93551
Los Angeles County (661) 273-9000
HAHNNAH PARK DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
510 W RANCHO VISTA BLVD
PALMDALE, CA 93551
Los Angeles County (661) 202-3052
ROLI RAJVANSHI D.D.S.
Dentist
510 W RANCHO VISTA BLVD
PALMDALE, CA 93551
Los Angeles County (661) 202-3052
ANA MARIA COLLANTES D.D.S.
Dentist (General Practice)
510 W RANCHO VISTA BLVD
PALMDALE, CA 93551
Los Angeles County (661) 273-0706
AMALIA SERASPI OSMA D.M.D.
Dentist (General Practice)
510 W RANCHO VISTA BLVD
PALMDALE, CA 93551
Los Angeles County (661) 273-3118

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 Saewon Kim's NPI number?

The NPI number for Saewon Kim is 1962196840. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Saewon Kim located?

Saewon Kim practices at 510 W Rancho Vista Blvd, Palmdale, CA 93551. The listed phone number is (661) 202-3052.

What is Saewon Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Saewon 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 7 other insurers list Saewon 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 Saewon Kim was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.