Samson Lam, D.D.S.
Individual provider Active NPI General Practice Dentistry · Westchester, CA
NPI 1497883136 · NPPES record last updated Jan 4, 2010
Key facts
- NPI
- 1497883136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 56732 (CA)
- Practice address
- 8740 S Sepulveda Blvd
Suite 130
Westchester, CA 90045-4000 - Phone
- (310) 410-9494
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160706002381 | CA | Order and Referring Only - Dentist |
4385936665 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050516 | NY | MD | General Practice Dentistry |
| 56732 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soleimani Dental Corporation | Past | Accepting new patients |
Interoperability endpoints
- samsondds.lam@hchcla.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 050516 | NY | |
| General Practice Dentistry | 1223G0001X | 56732 | CA | Yes |
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
Other providers in Westchester, CA
- G Davis Chiropractic Corporation
- George James Harraka
- Elizabeth Hernandez Cueto
- Kathy Susan Kaprinyak
- Kentwood Chiropractic
- Lauren a. Mathews D.DS., Incorporated
- Leslie Ann Lauterbach-Davis
- Eric Gim Lee
- Leighton Greer Looney
- Monica Puentes DDS, Inc
All providers in Westchester, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.