Organization Active NPI

Anukaran Samra DDS Inc

  • Dental Clinic/Center
  • Tracy, CA
National Provider Identifier
1053161844
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANUKARAN SAMRA DDS INC
Practice address
612 W 11TH St Ste 201
Tracy, CA 95376-3859
Phone
(209) 835-8408
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Dr. Anukaran Samra, DDSNPI 1265270904
Title
Owner
Phone
(510) 579-6844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

612 W 11TH St Ste 201
Tracy, CA 95376-3859

Mailing address

778 Channel Dr
Lathrop, CA 95330
Phone (510) 579-6844

Other names 1

  • Golden Valley Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

612 W 11th St
Ste 201
Tracy, CA 95376
Phone (209) 835-8408

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1053161844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 CHANNEL DR",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "95330",
            "telephone_number": "510-579-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W 11TH ST STE 201",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763859",
            "telephone_number": "209-835-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUKARAN SAMRA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SAMRA",
        "authorized_official_first_name": "ANUKARAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-579-6844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Valley Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.