Organization Active NPI

Lydia B. Cam, DDS

  • Dentist
  • Sacramento, CA
National Provider Identifier
1104372374
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59490 Issued in CA
Legal business name
LYDIA B. CAM, DDS
Practice address
103 Scripps Dr
Suite 4
Sacramento, CA 95825-6316
Phone
(916) 929-3356
Fax
(916) 929-3357
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Dr. Lydia B Cam, DDS
Title
President/Owner
Phone
(916) 929-3356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 59490 CA Primary

Addresses

Primary practice location

103 Scripps Dr
Suite 4
Sacramento, CA 95825-6316

Mailing address

103 Scripps Dr
Suite 4
Sacramento, CA 95825-6316
Phone (916) 929-3356

National Provider Directory

National Provider Directory

Locations

103 Scripps Dr
Ste 4
Sacramento, CA 95825
Phone (916) 929-3356

Practitioners & affiliated clinicians

Practitioners 1

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": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1104372374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SCRIPPS DR",
            "address_2": "SUITE 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256316",
            "telephone_number": "916-929-3356",
            "fax_number": "916-929-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SCRIPPS DR",
            "address_2": "SUITE 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256316",
            "telephone_number": "916-929-3356",
            "fax_number": "916-929-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA B. CAM, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "CAM",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "916-929-3356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.