TOM LEE SAM DO
NPI 1245899251
Anesthesiology in West Hollywood, CA
About Tom Lee Sam Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TOM LEE SAM DO (NPI 1245899251) is an individual anesthesiology provider in West Hollywood, California, licensed in Texas (BP10066726) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tom Lee Sam Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Tom Sam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 270 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tom Sam's NPI number?
The NPI number for Tom Sam is 1245899251. It was assigned to this individual provider in the NPPES registry on June 12, 2019.
Where is Tom Sam located?
Tom Sam practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-3277.
What is Tom Sam's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Tom Sam enrolled in Medicare?
Yes. Tom Sam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tom Sam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tom Sam reassigns Medicare benefits to Palm Springs Anesthesia Services, PC (San Bernardino, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tom Sam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tom Sam was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tom Lee Sam, DO · NPI 1245899251
Anesthesiology physician in West Hollywood, California. Individual provider, active in the CMS NPPES registry since June 12, 2019.
## Identity
- **NPI:** 1245899251 (Entity type: Individual)
- **Enumerated:** June 12, 2019
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** BP10066726 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 8700 BEVERLY BLVD, West Hollywood, CA 90048-1804
- **Phone:** (310) 423-3277
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Palm Springs Anesthesia Services, PC (NPI 1083928501, San Bernardino, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa, class of 2019
## Record status
- **NPPES last updated:** June 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245899251) · Data from the CMS NPPES public registry.