IndividualActive
Saewon Kim
NPI 1962196840 · Dentist · Palmdale, CA
Saewon Kim is a Dentist provider in Palmdale, CA (NPI 1962196840).
Provider details
- NPI number
- 1962196840
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 112156 (CA)
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
510 W Rancho Vista Blvd
Palmdale, CA 93551-3737
Phone: (661) 202-3052
Street-level locationGet directions
Mailing address
365 Blackshear Ave
East Los Angeles, CA 90022-2307
Additional practice locations (3)
- 11301 Wilshire BlvdLos Angeles, CA 90073-1003Phone: (310) 478-3711
- 16111 Plummer StNorth Hills, CA 91343-2036Phone: (818) 891-7711
- 1980 N Columbia StMilledgeville, GA 31061-2020Phone: (478) 387-7015
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Frequently asked questions
- What is Saewon Kim's NPI number?
- Saewon Kim's National Provider Identifier (NPI) is 1962196840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Saewon Kim's specialty?
- Saewon Kim is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Saewon Kim located?
- Saewon Kim's practice location on file with NPPES is 510 W Rancho Vista Blvd, Palmdale, CA 93551-3737.
- What is Saewon Kim's phone number?
- The practice phone number listed in the NPPES registry for Saewon Kim is (661) 202-3052.
- Is Saewon Kim's NPI active?
- Yes — Saewon Kim's NPI (1962196840) is active in the NPPES registry as of the last update on 2025-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.