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Sam Kim, IDC
NPI 1114122645 · Independent Duty Corpsman · Camp Pendleton, CA
Sam Kim, IDC is a Independent Duty Corpsman provider in Camp Pendleton, CA (NPI 1114122645).
Provider details
- NPI number
- 1114122645
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Box 555697
Camp Pendleton, CA 92055
Phone: (619) 961-8745
Approximate (ZIP-level) locationGet directions
Mailing address
9115 Dillon Dr
La Mesa, CA 91941-4230
Registry dates
- Enumerated
- 2007-06-15
- Last updated
- 2007-07-08
Frequently asked questions
- What is Sam Kim's NPI number?
- Sam Kim's National Provider Identifier (NPI) is 1114122645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sam Kim's specialty?
- Sam Kim is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Sam Kim located?
- Sam Kim's practice location on file with NPPES is Box 555697, Camp Pendleton, CA 92055.
- What is Sam Kim's phone number?
- The practice phone number listed in the NPPES registry for Sam Kim is (619) 961-8745.
- Is Sam Kim's NPI active?
- Yes — Sam Kim's NPI (1114122645) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.