Doctor profile · Federal record

Dr. Sam Kim, MD

Vascular & Interventional Radiology Physician (CMS: Interventional Radiology) · Fontana, CA

  • NPI 1184776569
  • Accepts Medicare
  • 25 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
9961 Sierra Ave
Fontana, CA 923356720
(909) 427-3910

Credentials & registration

NPPES · NUCC
NPI registered
January 2007 — 19 yrs on file
Profile last updated
November 29, 2021
Year of graduation
2001 — 25 yrs since
Specialty taxonomy
2085R0204X — NUCC code
State license (1)
California #A81401

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1184776569. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
202
Distinct HCPCS
5
Medicare allowed
$2,053
HCPCS Description Services Patients Avg allowed
71045 X-ray of chest, 1 view 129 99 $9
71046 X-ray of chest, 2 views 28 28 $11
74018 X-ray of abdomen, 1 view 19 15 $9
71046 X-ray of chest, 2 views 13 13 $25
73630 X-ray of foot, minimum of 3 views 13 11 $7

In context: peer comparison

Among 2 peers in this city , average services per provider: 37. This provider delivers 5.5× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Sam Kim's medical specialty?
Dr. Sam Kim practices Vascular & Interventional Radiology Physician in Fontana, CA.
Where does Dr. Sam Kim practice?
Dr. Sam Kim practices at 9961 Sierra Ave, Fontana, CA 923356720. Office phone: 9094273910.
What is Dr. Sam Kim's NPI?
Dr. Sam Kim's National Provider Identifier (NPI) is 1184776569, issued by NPPES.
Does Dr. Sam Kim accept Medicare assignment?
Yes. Dr. Sam Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sam Kim commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); X-ray of chest, 2 views (HCPCS 71046); X-ray of abdomen, 1 view (HCPCS 74018). Source: CMS Medicare Physician & Other Practitioners file.