Sam A. Samimi, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A38169 Issued in CA

Practice address

1165 N Euclid St
Anaheim, CA 92801-1938

Phone

(714) 991-9990

Fax

(714) 991-9496

NPI assigned

Sep 20, 2006

Last updated

Dec 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Allahyar G. Samadaei Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• David B. Friedman, MD, Inc

  • Procedural Dermatology Physician
  • Anaheim, CA
  • NPI 1164620795
  NPD
• Dermatology Associates, Inc.

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1205933546
  NPD
• Cary Edward Feibleman MD Inc

  • Dermatology Physician
  • Long Beach, CA
  • NPI 1982796389
  NPD (past)
• Colton Health Mo LLC

  dba Accurate Skin Clinic

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1225619844
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1093813347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY ROAD",
            "address_2": "SUITE 210 ,BUILDING A..",
            "city": "ST.LOUIS",
            "state": "MO",
            "postal_code": "641285116",
            "telephone_number": "314-842-3525",
            "fax_number": "314-842-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011938",
            "telephone_number": "714-991-9990",
            "fax_number": "714-991-9496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 kennerly road",
            "address_2": "suite 210 ,building A..",
            "address_purpose": "LOCATION",
            "city": "st.louis",
            "state": "MO",
            "postal_code": "641285116",
            "country_code": "US",
            "telephone_number": "314-842-3525",
            "fax_number": "314-842-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E 28th St Ste 311",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062780",
            "country_code": "US",
            "telephone_number": "562-595-4777",
            "fax_number": "562-424-9644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMIMI",
        "first_name": "SAM",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "35768",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A38169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202384400",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLAHYAR",
            "last_name": "SAMADAEI",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samara Palacio Cardenas M.D. a Professional Corporation
• Samaritan Ambulance Inc
• Farmata Samati
• Richard Gabriel Samedra, PMHNP-BC
• John Samimi, PHARM.D.
• Samir Azzam MD Inc
• Jacquelyn Diane Sammons, D.O.
• Sheryl G Samperisi
• Kim Sampson
• Samuel B Yoo MD Inc (Yoo ObGyn)

• Dermatology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.