NPIMap

Individual provider Active NPI

Samuel Kashani, M.D.

  • Surgery Physician
  • Encino, CA
National Provider Identifier
1184821407
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A87624 Issued in CA
Practice address
16133 Ventura Blvd
Suite 415
Encino, CA 91436-2403
Phone
(818) 804-5177
Fax
(818) 787-8249
NPI assigned
Jun 29, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A87624 CA Primary

Addresses

Primary practice location

16133 Ventura Blvd
Suite 415
Encino, CA 91436-2403

Mailing address

865 Comstock Ave
Suite 4D
Los Angeles, CA 90024-2572
Phone (818) 804-5177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071102000253 CA Practitioner - General SurgeryPractitioner - Surgical OncologyPractitioner - Colorectal Surgery (Proctology) 6507953866 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology), Surgical Oncology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Doctors Inc a Professional CorporationGroup PAC ID 1052327624, 9 clinicians

Practice addresses (Care Compare)

16133 Ventura Blvd
Suite 415
Encino, CA 91436-2429
Phone (818) 804-5177

9100 Wilshire Blvd
Suite 280E
Beverly Hills, CA 90212-3562
Phone (310) 652-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue286
Removal of skin lesions1-10
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87624CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Urgent Care Center Inc CurrentSince Aug 30, 2017 Accepting new patients
Total Wound Care Inc Surgery Current Accepting new patients
Foot & Ankle Doctors Inc a Professional Corporation CurrentSince Sep 16, 2024 Accepting new patients
Advanced Surgical Solutions, a Medical Corporation Surgery CurrentSince Oct 25, 2009 Accepting new patients
Foot & Ankle Doctors of Beverly Hills, a Professional Corp PastSince Sep 16, 2024 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

9100 Wilshire Blvd
Ste 280E
Beverly Hills, CA 90212
Phone (310) 652-3668

16133 Ventura Blvd
Ste 415
Encino, CA 91436
Phone (818) 506-3384

16311 Ventura Blvd
Ste 650
Encino, CA 91436
Phone (818) 907-5433

10961 Cherry St
Los Alamitos, CA 90720
Phone (562) 799-0792

18840 Ventura Blvd
Ste 110
Tarzana, CA 91356
Phone (818) 600-8343

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184821407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 COMSTOCK AVE",
            "address_2": "SUITE 4D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242572",
            "telephone_number": "818-804-5177",
            "fax_number": "818-787-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD",
            "address_2": "SUITE 415",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362403",
            "telephone_number": "818-804-5177",
            "fax_number": "818-787-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHANI",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-03-07",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A87624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.