Organization Active NPI

Reginald Sampson MD a Professional Corporation

  • Specialist
  • Lancaster, CA
National Provider Identifier
1871778670
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
W15893 Issued in CA
Legal business name
REGINALD SAMPSON MD A PROFESSIONAL CORPORATION
Practice address
1739 W Avenue J
Lancaster, CA 93534-2703
Phone
(661) 945-4502
Fax
(661) 945-4841
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Dr. Reginald Sampson, MD
Title
President
Phone
(661) 945-4502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X W15893 CA Primary

Addresses

Primary practice location

1739 W Avenue J
Lancaster, CA 93534-2703

Mailing address

1739 W Avenue J
Lancaster, CA 93534-2703
Phone (661) 945-4502

National Provider Directory

National Provider Directory

Locations

1741 W Avenue J
Lancaster, CA 93534
Phone (661) 940-0555

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1871778670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342703",
            "telephone_number": "661-945-4502",
            "fax_number": "661-945-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342703",
            "telephone_number": "661-945-4502",
            "fax_number": "661-945-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINALD SAMPSON MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-945-4502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "W15893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.