Paulino D Sambat Jr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101021882 Issued in VA

Practice address

106 Falcon Dr
Fredericksburg, VA 22408-1931

Phone

(540) 898-8400

Fax

(540) 898-6642

NPI assigned

Sep 23, 2005

Last updated

Oct 29, 2012By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1073509170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FALCON DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081931",
            "telephone_number": "540-898-8400",
            "fax_number": "540-898-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FALCON DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081931",
            "telephone_number": "540-898-8400",
            "fax_number": "540-898-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBAT",
        "first_name": "PAULINO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101021882",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101021882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kareema Sakari, LMT
• Phillicia Saks, LCSW
• Mavis Sakyi, PHARMD
• Afeez A Salako, PHARM.D
• Christy Salisbury, LMT
• Mitzi Jean Sampson, M.D.
• Etsub Samuel, MD
• Pariss Samuels
• Nelia Mendoza San Jose-Carlson, M.D.
• Noel Annette Sanders-Williams, APRN

• General Practice Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.