Samuel Y.H. Kao, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40625 Issued in CA

Practice address

888 Brea Crea Canyon Road
Suite #160
Diamond Bar, CA 91789

Phone

(626) 581-0077

Fax

(626) 581-0086

NPI assigned

Jul 20, 2007

Last updated

Oct 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Samuel Yung Kao DDS Inc

  • General Practice Dentistry
  • City of Industry, CA
  • NPI 1013936210
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1740480425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 BREA CREA CANYON ROAD",
            "address_2": "SUITE #160",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "626-581-0077",
            "fax_number": "626-581-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 BREA CREA CANYON ROAD",
            "address_2": "SUITE #160",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "626-581-0077",
            "fax_number": "626-581-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "SAMUEL",
        "middle_name": "Y.H.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fnu Kadionga Peter, MS
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Phmcy #554)
• Florence Wangari Kamau, RN
• Margaret Wanjiru Kamau
• Kamini S Chari MD Inc
• Avinash Karike, SLP-CCC
• Amit Kaushal, M.D.
• Kay K. Yoo Dental Corporation
• Scott Enoch Kazarian, LMFT
• Kevin Wethey, M.D. a Professional Corporation (Mentality Behavioral Health Center)

• General Practice Dentistry in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.