Individual provider Active NPI

Baron Tyler Sams, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1932592508
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33216 Issued in CA
Practice address
5151 Murphy Canyon Rd Ste 200
San Diego, CA 92123-4339
Phone
(858) 569-6959
NPI assigned
Mar 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33216 CA Primary

Addresses

Primary practice location

5151 Murphy Canyon Rd Ste 200
San Diego, CA 92123-4339

Mailing address

5151 Murphy Canyon Rd Ste 200
San Diego, CA 92123-4339
Phone (858) 569-6959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721002779 CA Practitioner - Chiropractic 1052624939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5151 Murphy Canyon Rd
Suite 200
San Diego, CA 92123-4339
Phone (858) 569-6959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sams Chiropractic Inc. Chiropractor CurrentSince Jun 12, 2015 Accepting new patients

Locations

5151 Murphy Canyon Rd
Ste 200
San Diego, CA 92123
Phone (858) 569-6459

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1932592508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MURPHY CANYON RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234339",
            "telephone_number": "858-569-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MURPHY CANYON RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234339",
            "telephone_number": "858-569-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "BARON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.