Active NPI
Roger Samawi, DO
- Family Medicine Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A8986
- Practice address
- 1045 Atlantic Ave
Suite 1019
Long Beach, CA 90813-3408 - Phone
- (562) 901-9228
- Fax
- (562) 437-5103
- NPI assigned
- Jun 1, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A8986 | CA | Primary |
Addresses
Primary practice location
1045 Atlantic Ave
Suite 1019
Long Beach, CA 90813-3408
Mailing address
1045 Atlantic Ave
Suite 1019
Long Beach, CA 90813-3408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX89860 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1045 Atlantic Ave
Suite 1019
Long Beach, CA 90813-3413
Phone (562) 437-6213
300 Redondo Ave B
Long Beach, CA 90814-2651
Phone (562) 433-7496
Hospital & facility affiliations
- Grace Home Health Care
- St Mary Medical Center
- Memorialcare Long Beach Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8986 | CA | MD | Family Medicine Physician |
| 8986 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners, a Medical Group | Current | Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Prohealth Partners, a Medical Group, Inc. | Current | Accepting new patients | |
| Careconnectmd Ca PC | Family Medicine | Current | Accepting new patients |
| UCSF Health Community Hospitals | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
1045 Atlantic Ave
Ste 1019
Long Beach, CA 90813
Phone (562) 437-6213
File 54567
Los Angeles, CA 90074
Phone (310) 491-9060
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1003949975
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1366063125
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1528191483
Family Medicine
-
- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- Home Health Agency
- Long Beach, CA
- NPI 1326032137
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1275570822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 ATLANTIC AVE",
"address_2": "SUITE 1019",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 ATLANTIC AVE",
"address_2": "SUITE 1019",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133408",
"telephone_number": "562-901-9228",
"fax_number": "562-437-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAWI",
"first_name": "ROGER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A8986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX89860",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.