Sami B. Nazzal, M.D., F.a.C.C. Inc.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A30933 Issued in CA

Legal business name

SAMI B. NAZZAL, M.D., F.A.C.C. INC.

Practice address

399 E Highland Ave
Suite 307
San Bernardino, CA 92404-3808

Phone

(909) 881-7400

Fax

(909) 881-7404

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Sami Barham Nazzal, M.D.

Title

President

Phone

(909) 881-7400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104028448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 307",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-881-7400",
            "fax_number": "909-881-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 307",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-881-7400",
            "fax_number": "909-881-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMI B. NAZZAL, M.D., F.A.C.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAZZAL",
        "authorized_official_first_name": "SAMI",
        "authorized_official_middle_name": "BARHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-881-7400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A30933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.