NPIMap

Individual provider Active NPI

Saman Teymouri, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1053388900
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A56008 Issued in CA
Practice address
2 Scripps Dr Ste 208
Sacramento, CA 95825-6207
Phone
(916) 569-4400
Fax
(916) 569-4435
NPI assigned
Feb 28, 2006
Last updated
May 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A56008 CA Primary

Addresses

Primary practice location

2 Scripps Dr Ste 208
Sacramento, CA 95825-6207

Mailing address

7 Parkcenter Dr
Suite 100
Sacramento, CA 95825-8359
Phone (916) 569-4400

Other identifiers 1

IdentifierTypeStateIssuer
GR0085030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081205000339 CA Practitioner - Internal Medicine 2264334101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Oaks Medical Group IncGroup PAC ID 9739081670, 3 clinicians

Practice addresses (Care Compare)

2 Scripps Dr
Suite 208
Sacramento, CA 95825-6207
Phone (916) 569-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56008CAMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
River Oaks Medical Group, Inc. Internal Medicine CurrentSince Nov 1, 1998 Accepting new patients
Dignity Health Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

2 Scripps Dr
Ste 208
Sacramento, CA 95825
Phone (916) 569-0980

7 Park Center Dr
Ste 100
Sacramento, CA 95825
Phone (916) 569-0980

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1053388900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PARKCENTER DR",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958258359",
            "telephone_number": "916-569-4400",
            "fax_number": "916-569-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SCRIPPS DR STE 208",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256207",
            "telephone_number": "916-569-4400",
            "fax_number": "916-569-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEYMOURI",
        "first_name": "SAMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.