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DR. SAMUEL DISMOND III M.D.
NPI 1801899570
General Practice in Oakland, CA

Active since May 24, 2005
436 14TH ST STE 1529, OAKLAND, CA 94612(510) 727-5126(510) 405-6147 Get Directions Write a Review

NPPES record last updated: April 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2022, Feb 5, 2020 (2 updates tracked since 2020).

About Dr. Samuel Dismond Iii M.d. NPPES

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

DR. SAMUEL DISMOND III M.D. (NPI 1801899570) is an individual general practice provider in Oakland, California, licensed in California (G62220) and active in the NPI registry since May 2005. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801899570
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. SAMUEL DISMOND IIICredential: M.D.
Location Address436 14TH ST STE 1529Oakland, CA 94612-2703
Mailing AddressPo Box 2238Sebastopol, CA 95473-2238 · (415) 800-7667 · Fax (831) 622-8401
Phone(510) 727-5126
Fax(510) 405-6147
Sole ProprietorYes
Enumeration DateMay 24, 2005
Last NPPES UpdateApril 9, 20222 updates tracked since enumeration
NPPES CertifiedApril 9, 2022
✔ NPI 1801899570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G62220
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
436 14TH ST STE 1529, Oakland, CA 94612
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Secondary Practice Locations 2

Location 117322 Murphy AveIrvine, CA 92614-5920 · Phone (510) 727-5126 · Fax (510) 405-6147
Location 21201 J St Ste 200Sacramento, CA 95814-2949 · Phone (510) 727-5126 · Fax (510) 405-6147

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 Samuel Dismond's NPI number?

The NPI number for Samuel Dismond is 1801899570. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Samuel Dismond located?

Samuel Dismond practices at 436 14th St Ste 1529, Oakland, CA 94612. The listed phone number is (510) 727-5126.

What is Samuel Dismond's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Samuel Dismond was last updated on April 9, 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.