Active NPI
Samuel J Porter M D a Medical Corporation
- Obstetrics & Gynecology Physician
- Los Angeles, CA
National Provider Identifier
1033285820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A22916
- Legal business name
- SAMUEL J PORTER M D A MEDICAL CORPORATION
- Practice address
- 321 N Larchmont Blvd
Suite 618
Los Angeles, CA 90004-3025 - Phone
- (323) 469-7133
- Fax
- (323) 469-7150
- NPI assigned
- Nov 26, 2006
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Adam Michael Porter, J.D., M.B.A.
- Title
- Attorney & Office Manager
- Phone
- (310) 801-7343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A22916 | CA | Primary |
Addresses
Primary practice location
321 N Larchmont Blvd
Suite 618
Los Angeles, CA 90004-3025
Mailing address
321 N Larchmont Blvd Ste 618
Los Angeles, CA 90004-6406
Phone (323) 469-7133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A229160 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0540423 | Samuel J Porter MD a Medical Corp | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Los Angeles, CA
- NPI 1366500209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1033285820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N LARCHMONT BLVD STE 618",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900046406",
"telephone_number": "323-469-7133",
"fax_number": "323-469-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N LARCHMONT BLVD",
"address_2": "SUITE 618",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043025",
"telephone_number": "323-469-7133",
"fax_number": "323-469-7150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL J PORTER M D A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-26",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "ATTORNEY & OFFICE MANAGER",
"authorized_official_telephone_number": "310-801-7343",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "J.D., M.B.A."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A22916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A229160",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.