Active NPI
Mark Christian Sampang
- Psychiatric/Mental Health Nurse Practitioner
- Cerritos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95004292
- Practice address
- 19706 Ray Cir
Cerritos, CA 90703-7546 - Phone
- (562) 805-8229
- NPI assigned
- May 31, 2016
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95004292 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | 95004292 | CA |
Addresses
Primary practice location
19706 Ray Cir
Cerritos, CA 90703-7546
Mailing address
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703-9329
Phone (562) 207-0139
Other practice location 1
3628 Stockdale Hwy
Bakersfield, CA 93309-2153
Phone (661) 322-1021
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2525 N Chester Ave
Bakersfield, CA 93308-1770
Phone (661) 868-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Health Care and Medical Clinic, Inc. | Single Specialty | Current | Accepting new patients |
| Albion Medical Partners of California West P C | Single Specialty | Current | Accepting new patients |
| County of Kern | Current | Accepting new patients | |
| County of Kern | Current | Accepting new patients | |
| All Inclusive Medical Services, Inc | Single Specialty | Current | Accepting new patients |
| County of Kern | Single Specialty | Current | Accepting new patients |
Locations
3628 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 322-1021
2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295
5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447
12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
1500 S Central Ave
Ste 320
Glendale, CA 91204
Phone (818) 396-5670
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bakersfield, CA
- NPI 1568658821
Single Specialty
-
- Internal Medicine Physician
- Cerritos, CA
- NPI 1073110607
Single Specialty
-
- Internal Medicine Physician
- Carmichael, CA
- NPI 1518369891
Single Specialty
-
- Adult Mental Health Clinic/Center
- Bakersfield, CA
- NPI 1467653253
-
- Adult Mental Health Clinic/Center
- Bakersfield, CA
- NPI 1851502124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1609224708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 PARK PLAZA DR",
"address_2": "STE 150",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907039329",
"telephone_number": "562-207-0139",
"fax_number": "562-741-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19706 RAY CIR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907037546",
"telephone_number": "562-805-8229"
}
],
"practiceLocations": [
{
"address_1": "3628 Stockdale Hwy",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933092153",
"country_code": "US",
"telephone_number": "661-322-1021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMPANG",
"first_name": "MARK CHRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-31",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95004292",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004292",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.