Individual provider Active NPI

Megan Sam, OD

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1205417649
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA-34940 Issued in CA
Practice address
300 Stein Plaza 2ND Floor
Los Angeles, CA 90095-1958
Phone
(310) 825-5000
NPI assigned
Apr 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002490 AZ
Optometrist 152W00000X CA-34940 CA Primary

Addresses

Primary practice location

300 Stein Plaza 2ND Floor
Los Angeles, CA 90095-1958

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Other practice location 1

26585 Agoura Rd Ste 270
Calabasas, CA 91302-1958
Phone (818) 431-4414

Other practice location 2

2935 Chino Ave Ste E3
Chino Hills, CA 91709-3575
Phone (909) 627-1111

Other practice location 3

300 Stein Plaza Wasserman 2nd Floor
Los Angeles, CA 90095-5251
Phone (310) 825-5000

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017001178 CA Practitioner - Optometry 4284031972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jules Stein Eye Institute Medical GroupGroup PAC ID 5597663740, 118 clinicians

Practice addresses (Care Compare)

200 Medical Plaza
Los Angeles, CA 90095-0001

200 Medical PLZ
Suite 530
Los Angeles, CA 90095-0001
Phone (310) 825-7922

300 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 825-5000

300 Stein Plaza
2ND Floor
Los Angeles, CA 90095-0001
Phone (310) 825-5000

622 W Duarte Rd
Suite 101
Arcadia, CA 91007-7606
Phone (323) 442-7122

Merit-based Incentive Payment System (MIPS)

Final score
86.31 of 100Reported as group
Quality
78.96
Promoting interoperability
100
Improvement activities
40
Cost
71.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002490AZMDOptometrist
CA-34940CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jules Stein Eye Institute Medical Group CurrentSince Dec 1, 2022 Accepting new patients
Jules Stein Eye Institute Medical Group CurrentSince Dec 1, 2022 Accepting new patients
Bright Vision Optometry Optometrist PastSince Jul 30, 2018 Accepting new patients
UCLA Medical Group Past Accepting new patients
UC Regents Past Accepting new patients

Locations

622 W Duarte Rd
Ste 101
Arcadia, CA 91007
Phone (310) 206-1166

26585 Agoura Rd
Ste 270
Calabasas, CA 91302
Phone (818) 431-4414

18111 Brookhurst St
Ste 6400
Fountain Vly, CA 92708
Phone (714) 350-7258

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

300 W 2nd St
Los Angeles, CA 90012
Phone (310) 206-7955

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

Interoperability endpoints

  • Direct secure messaging: megan.sam.p3@direct.midwesternuniversity.nextgenshare.com
  • Direct secure messaging: msam1035595@direct.uclahealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1205417649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEIN PLAZA 2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951958",
            "telephone_number": "310-825-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26585 Agoura Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021958",
            "country_code": "US",
            "telephone_number": "818-431-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2935 Chino Ave Ste E3",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917093575",
            "country_code": "US",
            "telephone_number": "909-627-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Stein Plaza Wasserman 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900955251",
            "country_code": "US",
            "telephone_number": "310-825-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAM",
        "first_name": "MEGAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002490",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA-34940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.