Individual provider Active NPI

Samuel Hitz, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1104213958
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A146380 Issued in CA
Practice address
222 South Hill Street
4TH Floor/Odr
Los Angeles, CA 90012
Phone
(310) 433-7218
NPI assigned
Apr 20, 2015
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A146380 CA Primary

Addresses

Primary practice location

222 South Hill Street
4TH Floor/Odr
Los Angeles, CA 90012

Mailing address

80 W Sierra Madre Blvd # 395
Sierra Madre, CA 91024-2434

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
I20170425002026 CA Practitioner - Psychiatry 4880971084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1359 N Grand Ave
Covina, CA 91724-1016
Phone (626) 430-2901

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146380CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jul 15, 2023 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jul 15, 2023 Accepting new patients

Locations

17707 Studebaker Rd
#150
Cerritos, CA 90703
Phone (310) 402-0688

1359 N Grand Ave
Covina, CA 91724
Phone (626) 430-2900

10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837

349A E Avenue K6
Lancaster, CA 93535
Phone (661) 723-4260

1816 S Figueroa St
Fl 6
Los Angeles, CA 90015
Phone (213) 763-0300

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

5321 Via Marisol
Los Angeles, CA 90042
Phone (323) 478-8244

2323 E Palmdale Blvd
Palmdale, CA 93550
Phone (661) 223-3800

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

3741 Stocker St
Ste 200
View Park, CA 90008
Phone (323) 290-5800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1104213958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W SIERRA MADRE BLVD # 395",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTH HILL STREET",
            "address_2": "4TH FLOOR/ODR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90012",
            "telephone_number": "310-433-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITZ",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A146380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.