Active NPI
Samplex a Professional Corporation
- Pulmonary Disease Physician
- Lakewood, CA
National Provider Identifier
1215890983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- SAMPLEX A PROFESSIONAL CORPORATION
- Practice address
- 3650 South St Ste 308
Lakewood, CA 90712-1518 - Phone
- (562) 633-2275
- NPI assigned
- Dec 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samer Moghaddam, MD
- Title
- Owner/Ceo
- Phone
- (949) 705-8485
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
3650 South St Ste 308
Lakewood, CA 90712-1518
Mailing address
153 Speckled Alder
Irvine, CA 92618-1168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Lakewood, CA
- NPI 1164472346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1215890983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 SPECKLED ALDER",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 SOUTH ST STE 308",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121518",
"telephone_number": "562-633-2275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMPLEX A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "MOGHADDAM",
"authorized_official_first_name": "SAMER",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "949-705-8485",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.