Organization Active NPI

Nancy Samudio MD & Philis D Ransom MD, Inc, a Professional Medical Cor

  • Obstetrics & Gynecology Physician
  • San Bernardino, CA
National Provider Identifier
1093088064
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A82448 Issued in CA
Legal business name
NANCY SAMUDIO MD & PHILIS D RANSOM MD, INC, A PROFESSIONAL MEDICAL COR
Practice address
399 E Highland Ave
Suite 516
San Bernardino, CA 92404-3808
Phone
(909) 881-1722
Fax
(909) 883-6011
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Nancy Samudio, MDNPI 1841386356
Title
President / Partner
Phone
(909) 881-1722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A82448 CA Primary

Addresses

Primary practice location

399 E Highland Ave
Suite 516
San Bernardino, CA 92404-3808

Mailing address

399 E Highland Ave
Suite 516
San Bernardino, CA 92404-3808
Phone (909) 881-1722

National Provider Directory

National Provider Directory

Locations

399 E Highland Ave
Ste 516
Sn Bernrdno, CA 92404
Phone (909) 881-1722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1093088064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 516",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-881-1722",
            "fax_number": "909-883-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 516",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-881-1722",
            "fax_number": "909-883-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY SAMUDIO MD & PHILIS D RANSOM MD, INC, A PROFESSIONAL MEDICAL COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "SAMUDIO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT / PARTNER",
        "authorized_official_telephone_number": "909-881-1722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A82448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.