Mercedes B Samson, M.D., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MERCEDES B SAMSON, M.D., INC.

Practice address

8615 Knott Ave Ste 3
Buena Park, CA 90620-3886

Phone

(714) 527-4833

Fax

(714) 527-5986

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Claro Samson

Title

Office Manager

Phone

(714) 527-4833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720120496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 KNOTT AVE STE 3",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203886",
            "telephone_number": "714-527-4833",
            "fax_number": "714-527-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 KNOTT AVE STE 3",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203886",
            "telephone_number": "714-527-4833",
            "fax_number": "714-527-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCEDES B SAMSON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "CLARO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-527-4833"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.