Active NPI
Ellie E Samadani, M.D.
- Ophthalmology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G83066
- Practice address
- 3737 Moraga Ave
Suite A105
San Diego, CA 92117-5404 - Phone
- (858) 273-0200
- Fax
- (858) 273-0619
- NPI assigned
- Jan 10, 2007
- Last updated
- Dec 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G83066 | CA | Primary |
Addresses
Primary practice location
3737 Moraga Ave
Suite A105
San Diego, CA 92117-5404
Mailing address
3737 Moraga Ave
Suite A105
San Diego, CA 92117-5404
Phone (858) 273-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G830660 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Wayne State University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3737 Moraga Ave
Suite A105
San Diego, CA 92117-5458
Phone (858) 273-0619
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.61 of 100
- Quality
- 81.78
- Promoting interoperability
- 74
- Improvement activities
- 40
- Cost
- 78.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G83066 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford G Feldman MD Inc | Ophthalmology | Current | Accepting new patients |
| Thomas S Tooma M D a Professional Corporation | Ophthalmology | Current | Accepting new patients |
| Thomas S Tooma M D a Professional Corporation | Ophthalmology | Current | Accepting new patients |
Locations
3655 Nobel Dr
Ste 130
San Diego, CA 92122
Phone (858) 283-5371
3737 Moraga Ave
Ste A105
San Diego, CA 92117
Phone (858) 273-0200
8010 Frost St
Ste 510
San Diego, CA 92123
Phone (858) 278-9900
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Nvision Eye Centers
- Ophthalmology Physician
- Newport Beach, CA
- NPI 1922129865
-
- Optometrist
- San Diego, CA
- NPI 1215583257
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1033268503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 MORAGA AVE",
"address_2": "SUITE A105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921175404",
"telephone_number": "858-273-0200",
"fax_number": "858-273-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 MORAGA AVE",
"address_2": "SUITE A105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921175404",
"telephone_number": "858-273-0200",
"fax_number": "858-273-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMADANI",
"first_name": "ELLIE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G83066",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G830660",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.