Active NPI
David Sami, MD
- Ophthalmology Physician
- Orange, CA
National Provider Identifier
1205924081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A74825
- Practice address
- 392 S Glassell St Ste 100
PSF Ophthalmology
Orange, CA 92866-1920 - Phone
- (714) 289-2389
- Fax
- (714) 289-2390
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A74825 | CA | Primary |
Addresses
Primary practice location
392 S Glassell St Ste 100
PSF Ophthalmology
Orange, CA 92866-1920
Mailing address
455 S Main St
PSF Ophthalmology
Orange, CA 92868-3835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A748250 | Medicaid | CA |
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 |
|---|---|---|---|
| A74825 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| Children'S Hospital Corporation | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- davidsami-westpacmed@lacsapc.netsmartdirect.net
Organizations & group practices 3
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.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
dba Boston Children's Hospital
- Children's Hospital
- Boston, MA
- NPI 1710087127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1205924081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S MAIN ST",
"address_2": "PSF OPHTHALMOLOGY",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 S GLASSELL ST STE 100",
"address_2": "PSF OPHTHALMOLOGY",
"city": "ORANGE",
"state": "CA",
"postal_code": "928661920",
"telephone_number": "714-289-2389",
"fax_number": "714-289-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMI",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A74825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A748250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.