Individual provider Active NPI

Samia Naeem

  • General Practice Dentistry
  • Santa Clara, CA
National Provider Identifier
1619274990
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56614 Issued in CA
Practice address
1150 Scott Blvd
Suite A2
Santa Clara, CA 95050-4547
Phone
(408) 985-7933
NPI assigned
Feb 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56614 CA Primary

Addresses

Primary practice location

1150 Scott Blvd
Suite A2
Santa Clara, CA 95050-4547

Mailing address

1150 Scott Blvd
Suite A2
Santa Clara, CA 95050-4547

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
I20260403000671 CA Practitioner - Dentist 2163907486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Boston Univ Goldman School of Dental Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1885 FM 2673 Unit
Suite 146
Canyon Lake, TX 78133-4765

2630 1St Ave
Suite 211
San Diego, CA 92103-6528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56614CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Syeddentalcare Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1619274990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SCOTT BLVD",
            "address_2": "SUITE A2",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SCOTT BLVD",
            "address_2": "SUITE A2",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504547",
            "telephone_number": "408-985-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAEEM",
        "first_name": "SAMIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.