Samuel Sepuya M.D. Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A35525 Issued in CA

Legal business name

SAMUEL SEPUYA M.D. CORPORATION

Practice address

1780 E Highland Ave
San Bernardino, CA 92404-4618

Phone

(909) 882-1276

Fax

(909) 886-8330

NPI assigned

Jan 13, 2011

Last updated

Apr 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Mujabi Sepuya, M.D.

Title

President

Phone

(909) 882-1276

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1124323647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 E HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044618",
            "telephone_number": "909-882-1276",
            "fax_number": "909-886-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 E HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044618",
            "telephone_number": "909-882-1276",
            "fax_number": "909-886-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL SEPUYA M.D. CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "SEPUYA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "MUJABI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-882-1276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A35525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams West Inc (Sams Pharmacy 10-6624)
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• Samuel a. Bolivar, MD Inc
• Samuel J Roth, M.D., Apc
• Samuel M Sepuya MD. Inc
• Alexandra Samuel-Sturgess
• Nosheen Samuel
• San Bernardino Anesthesia Medical Group, Inc.
• San Bernardino Care Company (Medical Center Convalescent Hospital)
• San Bernardino City Unified School District

• Pulmonary Disease Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.