John I Sam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A44946 Issued in CA

Practice address

3342 Whittier Blvd
Los Angeles, CA 90023-2206

Phone

(323) 267-1214

Fax

(323) 267-0282

NPI assigned

Dec 6, 2006

Last updated

Mar 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden State Family ClinicGroup PAC ID 2466805296, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Golden State Family Clinic

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1578345625
  Medicare reassignment Care Compare group NPD
• Ruben M Ruiz III MD Inc

  • General Practice Physician
  • Rosemead, CA
  • NPI 1942449442
  Medicare reassignment NPD
• Ruben M Ruiz III Medical Center

  • General Practice Physician
  • Rosemead, CA
  • NPI 1447653050
  NPD
• Southern California Cardiothoracic and Vascular Surgeons

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1528740024
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1033278031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3342 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232206",
            "telephone_number": "323-267-1214",
            "fax_number": "323-267-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3342 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232206",
            "telephone_number": "323-267-1214",
            "fax_number": "323-267-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "JOHN",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A449460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Evette Sam Kwarteng, MD
• Sam Sanandaji, DPM
• Sam Vaziri Vance Inc. (Sama)
• Andre-Philippe Sam, MD
• Angela Sam, MD
• Lorraine R Sam, PHARM.D.
• Megan Sam, OD
• Pollien Sam
• Anthony Samaan, DPM
• Elie Samaan, D.C., MUAC

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.

Verify at the official NPI Registry.