Ellen Wonsun Im, DDS
Pediatric Dentistry · Poway, CA
Ellen Wonsun Im, DDS is a pediatric dentistry with a practice address in Poway, California, and NPI 1023029220, issued on Aug 11, 2006. Check the license (California 63073, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ellen Wonsun Im
- Credential
- DDS
- Primary taxonomy
- Pediatric Dentistry 1223P0221X
- License number
- 63073 CA
Self-reported in NPPES; status is on the state search - Practice location
- 13422 Pomerado RD Ste 201, Poway, CA 92064
- Phone
- (410) 644-4100
- Enumerated
- Aug 11, 2006
- Record last updated
- May 10, 2021 (not updated in 5 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest pediatric dentistry records → All 1,339 in California → Look up another NPI →
Also registered at 13422 Pomerado RD Ste 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Monique NguyenOrthodontics and Dentofacial Orthopedics Dentistry1154089274
- Clarence Tang, DDS, MDOral and Maxillofacial Surgery (Dentist)1790987972
- Joel Wong, DMDPediatric Dentistry1962987602
Verify Ellen Wonsun Im in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 63073Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $42.31
2 payments; by number, the most common kind was food and beverage; the largest payer was USA Angelalign Technology Corp. The 2,607 providers of this specialty with any payment received $434.77 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Ellen Wonsun Im among 1,339 pediatric dentistry records in California
Ellen Wonsun Im, DDS is one of 1,339 pediatric dentistry records with a practice address in California. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 78% newer
- In a Medicare fileYes · 24% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2021 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223P0221X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Dentistry providers in California
There are 1,339 pediatric dentistry records in California.
All 1,339 in California → Every provider in Poway → Pediatric Dentistry nationwide →
The 8 pediatric dentistry records with the nearest ZIP codes
- Bruce Baker, DMDPoway, CA 920641356499644
- Robert Fattouch, DMDPoway, CA 920641144386194
- Sambath Tiep, D.D.S.Poway, CA 920641598093643
- Joel Wong, DMDPoway, CA 920641962987602
- Christina Arrieta, DDSRamona, CA 920651700388907
- Jaclyn Barrera, DMDSan Marcos, CA 920691962826487
- Kathryn Dardis, DDSSan Marcos, CA 920691467787713
- Neehal Ghoniem, D.M.D.San Marcos, CA 920691922386473
Common questions
What is Ellen Wonsun Im, DDS's NPI number?
Ellen Wonsun Im, DDS's National Provider Identifier (NPI) is 1023029220, issued on Aug 11, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Ellen Wonsun Im, DDS located?
The NPPES record lists a practice address at 13422 Pomerado RD Ste 201, Poway, CA, 92064. Phone: (410) 644-4100. Providers update this record themselves, so call before visiting.
How can I verify Ellen Wonsun Im, DDS's license?
NPPES lists California license number 63073, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.