Active NPI
Russ Alan Samet, O.D.
- Optometrist
- West Hills, CA
National Provider Identifier
1053478602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8164
- Practice address
- 7301 Medical Center Dr
Suite 207
West Hills, CA 91307-1904 - Phone
- (818) 340-2800
- Fax
- (818) 340-2881
- NPI assigned
- Jan 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8164 | CA | Primary |
Addresses
Primary practice location
7301 Medical Center Dr
Suite 207
West Hills, CA 91307-1904
Mailing address
7301 Medical Center Dr
Suite 207
West Hills, CA 91307-1904
Phone (818) 340-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8164 | CA | MD | Pulmonary Function Technologist Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053478602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 MEDICAL CENTER DR",
"address_2": "SUITE 207",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071904",
"telephone_number": "818-340-2800",
"fax_number": "818-340-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 MEDICAL CENTER DR",
"address_2": "SUITE 207",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071904",
"telephone_number": "818-340-2800",
"fax_number": "818-340-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMET",
"first_name": "RUSS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hills, CA
- Parham Salehi Saee, DO
- Noushafarin Salehi, M.D.
- Masoud Salekian, DMD
- Roee Reuven Salem
- Sam Abbassi, MD, Inc. (Prime Eye Care Specialists, Inc.)
- Samuel Kremen, M.D. Inc. (Kremen & Pesselnick, M.D.'s)
- San Fernando West Kidney Center
- San Fernando West Kidney Center L.P
- Victoria Mae Sansevieri, ATC, CSCS
- Allison Joy Santi, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.