Sanford Thomas Gaum, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

28692 Issued in CA

Practice address

1448 Bridgegate Dr
Diamond Bar, CA 91765-3922

Phone

(909) 860-7767

NPI assigned

Mar 4, 2009

Last updated

Mar 4, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1790925741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 CORONA DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053701",
            "telephone_number": "909-860-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 BRIDGEGATE DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653922",
            "telephone_number": "909-860-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUM",
        "first_name": "SANFORD",
        "middle_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "28692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• George Xenakis, DDS, PC (U Dream Dental - Diamond Bar)
• Christina K Georgescu
• Patricia Danielah Germon, MA

• Oral and Maxillofacial Surgery (Dentist) in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.