Pejman Samouha M.D. Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PEJMAN SAMOUHA M.D. INC

Practice address

1435 S Vermont Ave Ste 100
Los Angeles, CA 90006-4543

Phone

(213) 386-2511

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Pejman Samouha, M.D.NPI 1437397205

Title

Owner

Phone

(213) 386-2511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vermont Urgent care & Multi-specialty Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pejman Samouha, M.D

  • Specialist
  • Los Angeles, CA
  • NPI 1437397205
  Medicare reassignment NPD Authorized official
• Edwin Safaeipour, PA C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1891313441
  Medicare reassignment

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1194090688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 S VERMONT AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064543",
            "telephone_number": "213-386-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 S VERMONT AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064543",
            "telephone_number": "213-386-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEJMAN SAMOUHA M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "SAMOUHA",
        "authorized_official_first_name": "PEJMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-386-2511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOAR LISENCE",
            "identifier": "A106358",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermont Urgent care & Multi-specialty Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peiman Berdjis MD Inc
• Julie Peindl, LCSW
• Tiffany Peiro
• Pejman D Shamekh, M.D., Inc
• Pejman Golpanian MD Inc
• Susan Pekarovics, M.D.
• Asli Pekcan
• Irina Peker, PHARMD
• Sarah Peklo, LMFT
• Anna Esabelle Pekur

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.