Samra Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A048983 Issued in CA

Legal business name

SAMRA MEDICAL GROUP INC

Practice address

16661 Ventura Blvd.
Suite 701
Encino, CA 91436-1987

Phone

(818) 386-1823

Fax

(818) 907-0255

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Jalil Rashti, M.D.NPI 1942378369

Title

Medical Director

Phone

(818) 386-1823

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jalil Rashti, M.D.

  • Specialist
  • Encino, CA
  • NPI 1942378369
  NPD (past) Authorized official

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1265732390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD.",
            "address_2": "SUITE 701",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361987",
            "telephone_number": "818-386-1823",
            "fax_number": "818-907-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD.",
            "address_2": "SUITE 701",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361987",
            "telephone_number": "818-386-1823",
            "fax_number": "818-907-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMRA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "RASHTI",
        "authorized_official_first_name": "JALIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-386-1823",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A048983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Encino, CA
• Providers in Encino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.