Individual provider Active NPI

Carlton B. Sampson, M.D.

  • Anesthesiology Physician
  • Tarzana, CA
National Provider Identifier
1750300471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G61566 Issued in CA
Practice address
18321 Clark St
Tarzana, CA 91356-3501
Phone
(310) 471-5852
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G61566 CA Primary

Addresses

Primary practice location

18321 Clark St
Tarzana, CA 91356-3501

Mailing address

11999 San Vicente Blvd
#440
Los Angeles, CA 90049-5131
Phone (310) 440-3131

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050128000457 CA Practitioner - Anesthesiology 5991755936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conejo Los Robles Anesthesiology Medical Group IncGroup PAC ID 7517245541, 28 clinicians

Practice addresses (Care Compare)

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G61566CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conejo Los Robles Anesthesiology Medical Group, Inc. Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Tarzana Anesthesia Medical Group, Inc. Anesthesiology CurrentSince Nov 13, 2009 Accepting new patients
Carlton B Sampson MD Inc Anesthesiology PastSince Oct 7, 1994 Accepting new patients

Locations

11999 San Vicente Blvd
Ste 440
Los Angeles, CA 90049

18425 Burbank Blvd
Ste 105
Tarzana, CA 91356
Phone (310) 470-8446

18425 Burbank Blvd
Ste 525
Tarzana, CA 91356
Phone (818) 344-7195

18425 Burbank Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 342-2696

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

16311 Ventura Blvd
Ste 580
Van Nuys, CA 91436
Phone (213) 245-1325

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750300471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "#440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-440-3131",
            "fax_number": "310-471-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "310-471-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "CARLTON",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G61566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.