Samuel Junwon Kim
Dentist · Altadena, CA
Samuel Junwon Kim is a dentist with a practice address in Altadena, California, and NPI 1861186165, issued on Jun 8, 2023. Check the license (California 113196, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Samuel Junwon Kim
- Primary taxonomy
- Dentist 122300000X
- License number
- 113196 CA
Self-reported in NPPES; status is on the state search - Practice location
- 2095 Lincoln Ave # 201, Altadena, CA 91001
- Phone
- (626) 610-4413
- Enumerated
- Jun 8, 2023
- Record last updated
- Jun 23, 2026
- Entity
- Type 1 · individual
8 nearest dentist records → All 14,729 in California → Look up another NPI →
Also registered at 2095 Lincoln Ave # 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Edward Moussa, DMDDentist1023681038
Verify Samuel Junwon Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 113196Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Samuel Junwon Kim among 14,729 dentist records in California
Samuel Junwon Kim is one of 14,729 dentist records with a practice address in California. 56% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2023, is newer than 89% of them.
- NPI issued2023 · 89% of these records are older, 7% newer
- In a Medicare fileNo · 56% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2026 · 73% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 dentist records list a practice address in Altadena
They are 8 of the 517 NPPES records with a practice address in Altadena, and 14,729 dentist records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 14,729 in California → Every provider in Altadena → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Nicole Abraham, D.D.S.Altadena, CA 910011841595824
- Craig Cheng, D.D.S.Altadena, CA 910011376839753
- Alvina Choi, DDSAltadena, CA 910011962955179
- Nina Fridman, DDSAltadena, CA 910011851460976
- Tran Han, D.D.S.Altadena, CA 910011932347366
- Philip MaraisAltadena, CA 910011851715924
- Edward Moussa, DMDAltadena, CA 910011023681038
- Peggie Chen, DDSArcadia, CA 910061740327931
Common questions
What is Samuel Junwon Kim's NPI number?
Samuel Junwon Kim's National Provider Identifier (NPI) is 1861186165, issued on Jun 8, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Samuel Junwon Kim located?
The NPPES record lists a practice address at 2095 Lincoln Ave # 201, Altadena, CA, 91001. Phone: (626) 610-4413. Providers update this record themselves, so call before visiting.
How can I verify Samuel Junwon Kim's license?
NPPES lists California license number 113196, 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. 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.