Active NPI
Sami Yousef Nouhad, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1265591176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37467
- Practice address
- 7080 Hollywood Blvd
Ste #817
Los Angeles, CA 90028 - Phone
- (323) 466-3541
- Fax
- (323) 461-5172
- NPI assigned
- Dec 6, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 37467 | CA | Primary |
Addresses
Primary practice location
7080 Hollywood Blvd
Ste #817
Los Angeles, CA 90028
Mailing address
7080 Hollywood Blvd
Ste #817
Los Angeles, CA 90028
Phone (323) 466-3541
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 649781 | Other | UNITED CONCORDIA | |
| 4442 | Other | PACIFIC UNION DENTAL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37467 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265591176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7080 HOLLYWOOD BLVD",
"address_2": "STE #817",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90028",
"telephone_number": "323-466-3541",
"fax_number": "323-461-5172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7080 HOLLYWOOD BLVD",
"address_2": "STE #817",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90028",
"telephone_number": "323-466-3541",
"fax_number": "323-461-5172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOUHAD",
"first_name": "SAMI",
"middle_name": "YOUSEF",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "37467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "649781",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC UNION DENTAL",
"identifier": "4442",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.