Nancy J Samolitis, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A 104719 Issued in CA

Practice address

3736 Atlantic Ave
Suite 101
Long Beach, CA 90807-3492

Phone

(562) 256-9929

NPI assigned

Jul 29, 2008

Last updated

Apr 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Dermatology

Education

University of Kentucky College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Dermatology of Long Beach PCGroup PAC ID 6002076528, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Comprehensive Dermatology of Long Beach PC

  • Dermatology Physician
  • Long Beach, CA
  • NPI 1720356827
  Medicare reassignment Care Compare group NPD
• Nancy J Samolitis MD Inc

  • Dermatology Physician
  • Long Beach, CA
  • NPI 1356614499
  Authorized official Same address or phone
• U-U Pediatric Dermatology

  • Pediatric Dermatology Physician
  • Salt Lake City, UT
  • NPI 1235339193
  NPD (past)

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1164688230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 ATLANTIC AVE",
            "address_2": "SUITE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073492",
            "telephone_number": "562-256-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 ATLANTIC AVE",
            "address_2": "SUITE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073492",
            "telephone_number": "562-256-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOLITIS",
        "first_name": "NANCY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A 104719",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "5216196-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Samayoa
• Pauline Sujin Sambeli, NP
• Nolan Ross Same-Weil, CADC-I
• Cassy Samel
• Kayla Mika Sameshima
• Salvador Samora
• Dhananjay Mahesh Sampat, PHARM D.
• Amber Sampson, MSW
• Bobby Sampson, ACSW
• Darlene Sampson, M.D.

• Dermatology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.