Active NPI
Samson Lam, D.D.S.
- General Practice Dentistry
- Westchester, CA
National Provider Identifier
1497883136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56732
- Practice address
- 8740 S Sepulveda Blvd
Suite 130
Westchester, CA 90045-4000 - Phone
- (310) 410-9494
- NPI assigned
- Mar 2, 2007
- Last updated
- Jan 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 050516 | NY | |
| General Practice Dentistry | 1223G0001X | 56732 | CA | Primary |
Addresses
Primary practice location
8740 S Sepulveda Blvd
Suite 130
Westchester, CA 90045-4000
Mailing address
3231 Prospect Ave
Rosemead, CA 91770-2262
Phone (646) 262-3838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160706002381 | CA | Order and Referring Only - Dentist | 4385936665 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56732 | CA | MD | General Practice Dentistry |
| 050516 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soleimani Dental Corporation | Past | Accepting new patients |
Interoperability endpoints
- samsondds.lam@hchcla.eclinicaldirectplus.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1497883136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 PROSPECT AVE",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917702262",
"telephone_number": "646-262-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8740 S SEPULVEDA BLVD",
"address_2": "SUITE 130",
"city": "WESTCHESTER",
"state": "CA",
"postal_code": "900454000",
"telephone_number": "310-410-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "SAMSON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "050516",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.