Samuel M Sepuya MD. Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A35525 Issued in CA

Legal business name

SAMUEL M SEPUYA MD. INC

Practice address

1780 E Highland Ave
San Bernardino, CA 92404-4618

Phone

(909) 882-6900

Fax

(909) 882-6110

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samuel M Sepuya, MD, INC

Title

Owner

Phone

(909) 882-6900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1346408317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 E HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044618",
            "telephone_number": "909-882-6900",
            "fax_number": "909-882-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 E HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044618",
            "telephone_number": "909-882-6900",
            "fax_number": "909-882-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL M SEPUYA MD. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "SEPUYA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-882-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, INC"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A35525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Michael Sampson
• Sams West Inc
• Nancy Samudio, MD
• Samuel a. Bolivar, MD Inc
• Samuel J Roth, M.D., Apc
• Samuel Sepuya M.D. Corporation
• Alexandra Samuel-Sturgess
• Nosheen Samuel
• San Bernardino Anesthesia Medical Group, Inc.
• San Bernardino Care Company

• Pulmonary Disease Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.