Samuel W Doolittle, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G27746 Issued in CA

Practice address

1480 S Harbor Blvd
Ste 12
La Habra, CA 90631-7569

Phone

(714) 871-3255

Fax

(714) 870-2038

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750443198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD",
            "address_2": "STE 12",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317569",
            "telephone_number": "714-871-3255",
            "fax_number": "714-870-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD",
            "address_2": "STE 12",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317569",
            "telephone_number": "714-871-3255",
            "fax_number": "714-870-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLITTLE",
        "first_name": "SAMUEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G27746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G277460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thien DO
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• Kelley Dong
• Douglas S. Daniels, D.M.D. Inc.
• Linda Douglass, AGACNP-BC
• Martha E Dovali, DDS
• Dr Kim Dental Corporation
• Dr. Barraza-Reyes, PHD, a Psychological Corporation

• Family Medicine Physician in La Habra, CA
• Providers in La Habra, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.