Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Lowry Maxwell Jr., MD

Individual provider Diagnostic Radiology Physician · NPI 1386740900

Samuel Lowry Maxwell Jr., MD is a Diagnostic Radiology in Fullerton, California. Graduated from Harvard School of Dental Medicine in 1973, 53 years ago. Practices with St Jude Radiology Medical Group Inc, a 61-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
53
Trained at
Harvard School of Dental Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone: (714) 992-3978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G58197 (CA)

Record details

NPI number1386740900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolHARVARD SCHOOL OF DENTAL MEDICINE
Graduated 1973 (53 years in practice)
Group practice St Jude Radiology Medical Group Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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