Samuel W. Kaufman, M.D., Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A28426 Issued in CA

Legal business name

SAMUEL W. KAUFMAN, M.D., INC.

Practice address

4515 Orchard St
Montclair, CA 91763-3102

Phone

(909) 946-2801

Fax

(909) 946-3247

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Eileen Vrieze

Title

Biller

Phone

(909) 946-2801

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1063744530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 996",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917850996",
            "telephone_number": "909-946-2801",
            "fax_number": "909-946-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 ORCHARD ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633102",
            "telephone_number": "909-946-2801",
            "fax_number": "909-946-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL W. KAUFMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "VRIEZE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "909-946-2801"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A28426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Salem, M.D.
• Esequiel Salgado
• Teena M Salinas
• Salvage Psychiatry a Professional Nursing Corporation
• Sylvia Dolores Samaniego
• San Bernardino County Public Health Dept.
• Andrew Sanchez
• Cecilia Sanchez
• Francisco Sanchez
• Gloria Margaret Sanchez, NP

• Psychiatry Physician in Montclair, CA
• Providers in Montclair, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.