Samuel Isaias Sauza Lopez, DDS

Dentist, General Practice in Escondido, CA. Individual provider (NPI-1).

NPI number1629154166

StatusActive

Last updated in NPPESSep 21, 2021

Details

NPI: 1629154166
Entity type: Individual (NPI-1)
Name: Samuel Isaias Sauza Lopez
Credential: DDS
Sex: Male
Sole proprietor: No
Enumeration date: Oct 27, 2006
Certification date: Sep 21, 2021
Last updated: Sep 21, 2021

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	49667	CA	Yes

Practice location

431 West 13th Ave
Suite C
Escondido, CA 92025

Phone 760-743-9003 · Fax 760-743-9007

Mailing address

431 West 13th Ave
Suite C
Escondido, CA 92025

Phone 760-743-9003 · Fax 760-743-9007

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Dentistry providers in Escondido, CA

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