Samir Tanios Ayoub, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

38961 Issued in CA

Practice address

17024 Clark Ave
# B
Bellflower, CA 90706-5700

Phone

(562) 925-2223

Fax

(562) 925-2223

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1114097664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16505 CLARK AVE",
            "address_2": "# B",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065213",
            "telephone_number": "562-925-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17024 CLARK AVE",
            "address_2": "# B",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065700",
            "telephone_number": "562-925-2223",
            "fax_number": "562-925-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "SAMIR",
        "middle_name": "TANIOS",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Auman, NP
• Dorothy A Austin, CNM
• Ricardo Avila, MD
• Alejandra Aviles Zavaleta
• Lidia Ayala-Hutchison
• Azad and Ahmadi Dental Corporation
• Zarin Z. Azar, MD
• Nora J Azmitia
• B&B Medical Group Inc
• Vannesa Bacajol

• Dentist in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.