Individual provider Active NPI

Veronica Rodriguez Samala, M.D.

  • Specialist
  • Huntington Park, CA
National Provider Identifier
1073630281
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A37573 Issued in CA
Practice address
2550 E Slauson Ave Ste G
Huntington Park, CA 90255-2889
Phone
(323) 581-0791
Fax
(323) 581-2161
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A37573 CA Primary

Addresses

Primary practice location

2550 E Slauson Ave Ste G
Huntington Park, CA 90255-2889

Mailing address

2550 E Slauson Ave Ste G
Huntington Park, CA 90255-2889
Phone (323) 581-0791

Other identifiers 1

IdentifierTypeStateIssuer
A37573OtherCAMEDICAL BOARD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601002011 CA Order and Referring Only - Pediatric MedicinePractitioner - General PracticePractitioner - Pediatric Medicine 5698847267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37573CAMDChiropractor
A37573CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Veronica R. Samala, MD, Inc. Specialist Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1073630281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 E SLAUSON AVE STE G",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552889",
            "telephone_number": "323-581-0791",
            "fax_number": "323-581-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E SLAUSON AVE STE G",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552889",
            "telephone_number": "323-581-0791",
            "fax_number": "323-581-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMALA",
        "first_name": "VERONICA",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A37573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "A37573",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.