Fred R. Samimi, M.D., a Professional Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A83265 Issued in CA

Legal business name

FRED R. SAMIMI, M.D., A PROFESSIONAL CORPORATION

Practice address

9108 Laguna Main St
Suite 4
Elk Grove, CA 95758-7450

Phone

(916) 990-2828

Fax

(866) 728-8816

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Fred R. Samimi, M.D.

Title

President

Phone

(916) 990-2828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1083702906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 GOLD EXPRESS DR",
            "address_2": "SUITE 310-372",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704484",
            "telephone_number": "916-572-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 LAGUNA MAIN ST",
            "address_2": "SUITE 4",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587450",
            "telephone_number": "916-990-2828",
            "fax_number": "866-728-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED R. SAMIMI, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "SAMIMI",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-990-2828",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A83265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Franz
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• Renee Frazier
• Evangeline E Freathy, MSW
• Fred P Dinitz DDS Inc
• Ronielle Freeman
• Francisca Emelise Freire Aires Hernandez
• Margot Frey
• Steven Michael Frisby, O.D.
• Kiara NA'Cole Frost, MSW

• Neurology Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.