Carlton B Sampson MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G61566 Issued in CA

Legal business name

CARLTON B SAMPSON MD INC

Practice address

18321 Clark Street
Tarzana, CA 91356-3501

Phone

(818) 708-5285

Fax

(818) 708-5491

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Carlton B Sampson, MDNPI 1750300471

Title

Owner President

Phone

(818) 708-5285

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlton B. Sampson, M.D.

  • Anesthesiology Physician
  • Tarzana, CA
  • NPI 1750300471
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1164456109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260620",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914360620",
            "telephone_number": "818-708-5285",
            "fax_number": "818-708-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK STREET",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "818-708-5285",
            "fax_number": "818-708-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON B SAMPSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "818-708-5285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G61566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G615661",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.