Amylee Michelle Sam

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A188030 Issued in CA

Practice address

24887 Taylor St BLDG Suite202
Loma Linda, CA 92350-0225

Phone

(909) 651-4024

NPI assigned

Mar 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amylee Michelle Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Dermatology

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1285269068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24887 TAYLOR ST BLDG SUITE202",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923500225",
            "telephone_number": "909-558-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24887 TAYLOR ST BLDG SUITE202",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923500225",
            "telephone_number": "909-651-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "AMYLEE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A188030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMYLEE",
            "last_name": "MARTIN",
            "middle_name": "MICHELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Delphin Sallowm, M.D
• Kenneth Garcia Salomon
• Emelito Pabilona Salvador
• Kyrstle Barrera Salvador, PH.D.
• Olivia Salvador, RN
• Samineh Sam, PHARM.D
• Michael Samaan, PHARMD
• Abdul Rahman Samady, MD
• Ravand Samaeekia, MD
• Mariam Samir

• Dermatology Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.