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AMYLEE MICHELLE SAM
NPI 1285269068
Dermatology in Loma Linda, CA

Active since March 11, 2020PECOS EnrolledAccepts Medicare Assignment
24887 TAYLOR ST BLDG SUITE202, LOMA LINDA, CA 92350(909) 651-4024 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2026, Jul 1, 2025, Feb 6, 2024 and 1 more (4 updates tracked since 2020).

About Amylee Michelle Sam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMYLEE MICHELLE SAM (NPI 1285269068) is an individual dermatology provider in Loma Linda, California, licensed in California (A188030) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1285269068
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameAMYLEE MICHELLE SAM
Location Address24887 TAYLOR ST BLDG SUITE202Loma Linda, CA 92350-0225
Mailing Address24887 Taylor St Bldg Suite202Loma Linda, CA 92350-0225 · (909) 558-6131
Phone(909) 651-4024
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 11, 2020
Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1285269068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A188030
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
24887 TAYLOR ST BLDG SUITE202, Loma Linda, CA 92350
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Other Names 1

Former Name (1)Amylee Michelle Martin Md

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

Amylee Michelle Sam 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.

PECOS PAC ID9335603364
PECOS Enrollment IDI20260710002522
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Amylee Sam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
Same address
Psychologist
11130 ANDERSON ST, SUITE 117
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1487603924 (909) 558-8576
Sac Health System
3.6 mi
Federally Qualified Health Center (FQHC)
1454 E 2ND ST
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
NPI 1013935915 (909) 382-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEEK STEELE MD
Student in an Organized Health Care Education/Training Program
24887 TAYLOR ST BLDG SUITE202
LOMA LINDA, CA 92350
San Bernardino County (909) 558-6131

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 Amylee Sam's NPI number?

The NPI number for Amylee Sam is 1285269068. It was assigned to this individual provider in the NPPES registry on March 11, 2020. The provider is also known as Amylee Michelle Martin MD.

Where is Amylee Sam located?

Amylee Sam practices at 24887 Taylor St Bldg Suite202, Loma Linda, CA 92350. The listed phone number is (909) 651-4024.

What is Amylee Sam's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Amylee Sam enrolled in Medicare?

Yes. Amylee 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 organizations bill Medicare for Amylee Sam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amylee Sam reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Sac Health System (San Bernardino, CA). Each 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 Amylee 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 Amylee Sam was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.