NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Samuel C. Kim, MD

Retina Specialist (Ophthalmology) Physician in Upland, CA · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720379100

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Registry record

Entity type Individual (Type 1)
Name Dr. Samuel C. Kim
Credential MD
Sex Male
Practice address Upland, CA, 91786
Phone (909) 982-8846
Fax (909) 949-3967
Enumeration date Apr 20, 2011
Last updated in NPPES Jun 24, 2020

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
207WX0107X Retina Specialist (Ophthalmology) Physician Allopathic & Osteopathic Physicians · License A123812 (CA) Primary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License MD042959 (DC) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 0101257811 (VA) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Samuel Kim's NPI record?
Cross-check NPI 1720379100 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1720379100 active?
Yes, as of the latest NPPES snapshot, NPI 1720379100 is active (record last updated 2020-06-24).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-24.