Samuel J. Smith,M.D,Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G13861 Issued in CA

Legal business name

SAMUEL J. SMITH,M.D,INC

Practice address

8641 Wilshire Blvd
Ste 220
Beverly Hills, CA 90211-2900

Phone

(310) 659-3258

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samuel J Smith, M.D.

Title

President

Phone

(310) 659-3251

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1265619035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD",
            "address_2": "STE 220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112900",
            "telephone_number": "310-659-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD",
            "address_2": "STE 220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112900",
            "telephone_number": "310-659-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL J. SMITH,M.D,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-659-3251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G13861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G138610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bruce A Samuels, M.D.
• Samy Sharobeem, M D Inc
• San Vicente Radiology Medical Group, Inc
• Sanare Sanctuary Inc
• Luke Sanborn

• Cardiovascular Disease Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.