Payam Samouhi, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

OMS47 Issued in CA

Practice address

22142 Sherman Way
#201
Canoga Park, CA 91303-1136

Phone

(818) 703-8200

Fax

(818) 703-8296

NPI assigned

Jan 3, 2007

Last updated

Feb 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heritage Oral Surgery and Implant Centers

  • Oral and Maxillofacial Surgery (Dentist)
  • Valencia, CA
  • NPI 1205479391
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1467509687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22142 SHERMAN WAY",
            "address_2": "#201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031136",
            "telephone_number": "818-703-8200",
            "fax_number": "818-703-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22142 SHERMAN WAY",
            "address_2": "#201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031136",
            "telephone_number": "818-703-8200",
            "fax_number": "818-703-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOUHI",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS47",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelin Samayoa
• Jessica Marie Samora
• Lorissa Samora
• Gina Samouel
• Mahsa Samouhi, DMD
• Daniel San
• Martina Sanabria
• Farahmand Sanai
• Yasmin Sanati, OD
• Stephanie Sanchez Aguilar

• Oral and Maxillofacial Surgery (Dentist) in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.