Active NPI
Samer Ahmed Michmali, DDS
- Dentist
- Clovis, CA
National Provider Identifier
1447170261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 113579
- Practice address
- 1315 Shaw Ave Ste 102
Clovis, CA 93612-3963 - Phone
- (559) 321-0886
- NPI assigned
- Jul 20, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 113579 | CA | Primary |
Addresses
Primary practice location
1315 Shaw Ave Ste 102
Clovis, CA 93612-3963
Mailing address
1840 Woodview CT
Ceres, CA 95307-3580
Phone (209) 996-9105
Other practice location 1
1680 B St Ste A
Hayward, CA 94541-3043
Phone (510) 581-8366
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1447170261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 WOODVIEW CT",
"city": "CERES",
"state": "CA",
"postal_code": "953073580",
"telephone_number": "209-996-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 SHAW AVE STE 102",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123963",
"telephone_number": "559-321-0886"
}
],
"practiceLocations": [
{
"address_1": "1680 B St Ste A",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945413043",
"country_code": "US",
"telephone_number": "510-581-8366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHMALI",
"first_name": "SAMER",
"middle_name": "AHMED",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-20",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "113579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.