Active NPI
Alberta Woodworth Samuelson, MD
- Psychiatry Physician
- Torrance, CA
National Provider Identifier
1104930296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A19246
- Practice address
- 3640 Lomita Blvd
#209
Torrance, CA 90505-3981 - Phone
- (310) 373-3233
- Fax
- (310) 375-8845
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A19246 | CA | Primary |
Addresses
Primary practice location
3640 Lomita Blvd
#209
Torrance, CA 90505-3981
Mailing address
3640 Lomita Blvd
#209
Torrance, CA 90505-3981
Phone (310) 373-3233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A19246 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Katsman MD PHD Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1104930296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 LOMITA BLVD",
"address_2": "#209",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053981",
"telephone_number": "310-373-3233",
"fax_number": "310-375-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 LOMITA BLVD",
"address_2": "#209",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053981",
"telephone_number": "310-373-3233",
"fax_number": "310-375-8845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELSON",
"first_name": "ALBERTA",
"middle_name": "WOODWORTH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A19246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.