Active NPI
Sama Makar, DDS
- Dentist
- Baldwin Park, CA
National Provider Identifier
1225865439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 110689
- Practice address
- 4138 Maine Ave Ste M2
Baldwin Park, CA 91706-3302 - Phone
- (626) 214-4076
- Fax
- (626) 921-5687
- NPI assigned
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 110689 | CA | Primary |
Addresses
Primary practice location
4138 Maine Ave Ste M2
Baldwin Park, CA 91706-3302
Mailing address
36 Lincoln CT
Buena Park, CA 90620-4611
Phone (714) 765-9145
Other practice location 1
2156 E Lincoln Ave
Anaheim, CA 92806-4104
Phone (714) 399-3140
Other practice location 2
20700 Avalon Blvd # 600
Carson, CA 90746-3701
Phone (310) 219-2982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110689 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sorour D.M.D Corporation | Past | Accepting new patients | |
| Scott Jacks, DDS, Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Anaheim, CA
- NPI 1588703458
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1427562594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1225865439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 LINCOLN CT",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204611",
"telephone_number": "714-765-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4138 MAINE AVE STE M2",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063302",
"telephone_number": "626-214-4076",
"fax_number": "626-921-5687"
}
],
"practiceLocations": [
{
"address_1": "2156 E Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928064104",
"country_code": "US",
"telephone_number": "714-399-3140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20700 Avalon Blvd # 600",
"address_purpose": "LOCATION",
"city": "Carson",
"state": "CA",
"postal_code": "907463701",
"country_code": "US",
"telephone_number": "310-219-2982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKAR",
"first_name": "SAMA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.