Individual provider Active NPI

Erwin Sampang, NP

  • Nurse Practitioner
  • Walnut, CA
National Provider Identifier
1114782398
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017580 Issued in CA
Practice address
731 Lyonwood Ave
Walnut, CA 91789-3312
Phone
(562) 481-5744
NPI assigned
Feb 16, 2024
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017580 CA Primary
Family Nurse Practitioner 363LF0000X 95017580 CA

Addresses

Primary practice location

731 Lyonwood Ave
Walnut, CA 91789-3312

Mailing address

731 Lyonwood Ave
Walnut, CA 91789-3312

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213003403 CA Practitioner - Nurse Practitioner 4385170380 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Partners of California West P C CurrentSince Dec 2, 2024 Accepting new patients
Molina Healthcare of California CurrentSince Aug 11, 2025 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Aug 11, 2025 Accepting new patients

Locations

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

Interoperability endpoints

  • Direct secure messaging: erwin.sampang.1@32527.direct.athenahealth.com
  • Direct secure messaging: erwin.sampang.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: esampang20276@direct-prd.molinahealthcare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1114782398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 LYONWOOD AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 LYONWOOD AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893312",
            "telephone_number": "562-481-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPANG",
        "first_name": "ERWIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017580",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

Verify at the official NPI Registry.