Organization Active NPI

Samson Yang DMD Inc.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1629502844
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60510 Issued in CA
Legal business name
SAMSON YANG DMD INC.
Practice address
5527 Clairemont Mesa Blvd
San Diego, CA 92117-2342
Phone
(858) 467-0503
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Samson Yang, D.M.D.
Title
President
Phone
(415) 218-0947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60510 CA Primary

Addresses

Primary practice location

5527 Clairemont Mesa Blvd
San Diego, CA 92117-2342

Mailing address

5527 Clairemont Mesa Blvd
San Diego, CA 92117-2342
Phone (858) 467-0503

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1629502844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172342",
            "telephone_number": "858-467-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172342",
            "telephone_number": "858-467-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMSON YANG DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-218-0947",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.