Organization Active NPI

Samuel a Silao MD Inc

  • Family Medicine Physician
  • Chino Hills, CA
National Provider Identifier
1255653234
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G64145 Issued in CA
Legal business name
SAMUEL A SILAO MD INC
Practice address
2557 Chino Hills Pkwy
Suite a
Chino Hills, CA 91709-5103
Phone
(909) 393-4334
NPI assigned
Feb 18, 2010
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Dr. Samuel A Silao, MD
Title
President
Phone
(909) 393-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G64145 CA Primary

Addresses

Primary practice location

2557 Chino Hills Pkwy
Suite a
Chino Hills, CA 91709-5103

Mailing address

2557 Chino Hills Pkwy
Suite a
Chino Hills, CA 91709-5103
Phone (909) 393-4334

Other identifiers 1

IdentifierTypeStateIssuer
G64145OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100615000593 CA Part B Supplier - Clinic/Group Practice 6305976515 Receives reassigned benefits from 1 practitioner
Practice locations: Chino Hills, CA

National Provider Directory

National Provider Directory

Locations

15202 Central Ave
Ste B
Chino, CA 91710
Phone (909) 393-4334

15202 Central Ave
Ste C
Chino, CA 91710
Phone (909) 393-4334

2557 Chino Hills Pkwy
Chino Hills, CA 91709
Phone (909) 393-4334

2557 Chino Hills Pkwy
Ste A
Chino Hills, CA 91709
Phone (909) 343-4334

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1255653234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 CHINO HILLS PKWY",
            "address_2": "SUITE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095103",
            "telephone_number": "909-393-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 CHINO HILLS PKWY",
            "address_2": "SUITE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095103",
            "telephone_number": "909-393-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL A SILAO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "SILAO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-393-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G64145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G64145",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.

Verify at the official NPI Registry.