Individual provider Active NPI

Isaiah Ronald Sampson, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Castro Valley, CA
National Provider Identifier
1629996046
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
113065 Issued in CA
Practice address
20265 Lake Chabot Rd Ste 2
Castro Valley, CA 94546-5307
Phone
(510) 537-3050
NPI assigned
Jul 6, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 113065 CA Primary

Addresses

Primary practice location

20265 Lake Chabot Rd Ste 2
Castro Valley, CA 94546-5307

Mailing address

2122 Lakeshore Ave Apt 605
Oakland, CA 94606-1173
Phone (253) 324-4422

Other names 1

  • Dr. Izzy Sampson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1629996046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 LAKESHORE AVE APT 605",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061173",
            "telephone_number": "253-324-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20265 LAKE CHABOT RD STE 2",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465307",
            "telephone_number": "510-537-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "ISAIAH",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "113065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IZZY",
            "last_name": "SAMPSON",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.