Individual provider Active NPI

Samai Chavez

  • Audiologist
  • Whittier, CA
National Provider Identifier
1104416882
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU3541 Issued in CA
Practice address
13121 Philadelphia St
Whittier, CA 90601-4302
Phone
(562) 698-0581
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU3541 CA Primary

Addresses

Primary practice location

13121 Philadelphia St
Whittier, CA 90601-4302

Mailing address

1100 N State St
Clinic Tower A2E
Los Angeles, CA 90033-5000
Phone (323) 409-5073

Other practice location 1

8337 Telegraph Rd Ste 201A
Pico Rivera, CA 90660-4909
Phone (562) 659-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518000718 CA Practitioner - Qualified Audiologist 2062821341 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3541CAMDOccupational Therapy Assistant
AU3541CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Whittier Hearing Center Inc Audiologist CurrentSince Aug 1, 2020 Accepting new patients
Audigycare, LLC PastSince Aug 1, 2020 Accepting new patients

Locations

13121 Philadelphia St
Whittier, CA 90601
Phone (562) 698-0581

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1104416882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N STATE ST",
            "address_2": "CLINIC TOWER A2E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335000",
            "telephone_number": "323-409-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 PHILADELPHIA ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014302",
            "telephone_number": "562-698-0581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8337 Telegraph Rd Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Pico Rivera",
            "state": "CA",
            "postal_code": "906604909",
            "country_code": "US",
            "telephone_number": "562-659-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "SAMAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU3541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.