Samuel R Whitaker MD Prof Corp

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

Legal business name

SAMUEL R WHITAKER MD PROF CORP

Practice address

2888 Long Beach Blvd
Ste 150
Long Beach, CA 90806-1560

Phone

(562) 997-3990

Fax

(562) 997-4166

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Samuel Robinson Whitaker, M.D.

Title

Sole Proprietor

Phone

(562) 997-3990

Specialties & licenses 1

Addresses

Other names 1

• SAMUEL R. WHITAKER, M.D. Other name

Locations

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1194962704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD",
            "address_2": "STE 150",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061560",
            "telephone_number": "562-997-3990",
            "fax_number": "562-997-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD",
            "address_2": "STE 150",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061560",
            "telephone_number": "562-997-3990",
            "fax_number": "562-997-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL R WHITAKER MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ROBINSON",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "562-997-3990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMUEL R. WHITAKER, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ferdinand Taplacido San Diego

• Otology & Neurotology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Otology & Neurotology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.