1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Dentist
  6. NPI Profile

DR. SAM SEGAL DMD
NPI 1790424356
Dentist - General Practice in Los Angeles, CA

Active since June 01, 2022PECOS Enrolled
1319 N DETROIT ST APT 201, LOS ANGELES, CA 90046(323) 868-5401 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sam Segal Dmd NPPES

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

DR. SAM SEGAL DMD (NPI 1790424356) is an individual general practice provider in Los Angeles, California, licensed in Arizona (D011394) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790424356
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAM SEGALCredential: DMD
Location Address1319 N DETROIT ST APT 201Los Angeles, CA 90046-4482
Mailing Address1319 N Detroit St Apt 201Los Angeles, CA 90046-4482 · (323) 868-5401
Phone(323) 868-5401
Sole ProprietorYes
Enumeration DateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1790424356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D011394
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1319 N DETROIT ST APT 201, Los Angeles, CA 90046
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sam Segal Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sam Segal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Carlos Apache Healthcare Corporation
458 mi
Critical Access Hospital
103 MEDICINE WAY ROAD
Peridot, AZ 85542
  • Reassigned Medicare billing, Texas enrollment
  • 438 clinicians in this Medicare group
NPI 1265813075 (928) 475-1200

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 90046 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Sam Segal's NPI number?

The NPI number for Sam Segal is 1790424356. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Sam Segal located?

Sam Segal practices at 1319 N Detroit St Apt 201, Los Angeles, CA 90046. The listed phone number is (323) 868-5401.

What is Sam Segal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sam Segal enrolled in Medicare?

Yes. Sam Segal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sam Segal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Segal reassigns Medicare benefits to San Carlos Apache Healthcare Corporation (Peridot, AZ). 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 Sam Segal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sam Segal accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Sam Segal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sam Segal was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.