Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104215375 Individual Practitioner Male Practitioner

Samuel Kim

Case Manager/Care Coordinator • Pacoima, CA

Professional Overview & Biography Verified Profile Summary

Samuel Kim is a registered healthcare professional specializing in Case Manager/Care Coordinator in Pacoima, CA. Practice services are available at 12450 VAN NUYS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12450 Van Nuys Blvd
Suite 200

Pacoima, CA 913311391

Telephone 8188961161
Fax 8188965069
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Pacoima, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
128 Specialists

Practicing in Pacoima, CA (23452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6758 (CA)
Medicaid State Provider ID
7420 (CA)
Medicaid State Provider ID
7068 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Millicent Clayton

Case Manager/Care Coordinator

NPI 1003312752
Laura Gurrola

Case Manager/Care Coordinator

NPI 1003461088
Cesar Franco

Case Manager/Care Coordinator

NPI 1003944018
Valentina Usubyan

Counselor - Mental Health

NPI 1013106616
Maria Diaz

Peer Specialist

NPI 1013346493
Shakeel Allam

Day Training/Habilitation Specialist

NPI 1033094685

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2015

Registered at 12450 VAN NUYS BLVD, SUITE 200, PACOIMA, CA 913311391 (Tel: 8188961161)

📍
Updated Business Mailing Address January 12, 2015

Registered at 12450 VAN NUYS BLVD, SUITE 200, PACOIMA, CA 913311391 (Tel: 8188961161)

👤
Provider Name / Credentials Updated January 12, 2015

Recorded as SAMUEL KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2015

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration January 12, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104215375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2015
Last Update: January 12, 2015
Sole Proprietor: No

Mailing Address

12450 Van Nuys Blvd, Suite 200

Pacoima, CA 913311391

Phone: 8188961161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.