Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Kim, MD

Individual provider Emergency Medicine Physician · NPI 1528440658

Samuel Kim, MD is an Emergency Medicine in Vacaville, California. Graduated from University of Cincinnati College of Medicine in 2015, 11 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Trained at
University of Cincinnati College of Medicine
Licensed in
CA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Quality Dr
Vacaville, CA 95688-9494
Phone: (707) 624-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-2001

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A155420 (CA)

Record details

NPI number1528440658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2015
Last updated in NPPESDecember 17, 2021
Certification dateSeptember 5, 2020
Mailing address1800 Harrison St, 7th Floor, Oakland, CA 94612-3466

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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