Organization Active NPI

Samuel J Porter M D a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1033285820
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A22916 Issued in CA
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A229160MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110214000881 CA Part B Supplier - Clinic/Group Practice 6709066350 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0540423Samuel J Porter MD a Medical Corp321 N Larchmont, Suite 618, Los Angeles, CA 90004Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.