Individual provider Active NPI

Samson Lam, D.D.S.

  • General Practice Dentistry
  • Westchester, CA
National Provider Identifier
1497883136
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56732 Issued in CA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160706002381 CA Order and Referring Only - DentistPractitioner - Dentist 4385936665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56732CAMDGeneral Practice Dentistry
050516NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Soleimani Dental Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.