Individual provider Active NPI

Sameh Mounir Yanni Elsanadi, MD

  • Psychiatry Physician
  • Irvine, CA
National Provider Identifier
1285727271
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A51504 Issued in CA
Practice address
109 Placemark
Irvine, CA 92614-0172
Phone
(949) 510-7350
Fax
(949) 266-1647
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A51504 CA Primary
Geriatric Psychiatry Physician 2084P0805X A51504 CA

Addresses

Primary practice location

109 Placemark
Irvine, CA 92614-0172

Mailing address

109 Placemark
Irvine, CA 92614-0172
Phone (949) 510-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180604002274 WY Practitioner - Psychiatry 1951396233 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Behavioral Institute Psychiatry CurrentSince May 15, 2018 Accepting new patients
Sameh Elsanadi MD,Inc. Geriatric Psychiatry PastSince Jul 1, 1997 Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

4041 S Poplar St
Casper, WY 82601
Phone (307) 237-7444

2521 E 15th St
Casper, WY 82609
Phone (307) 237-7444

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1285727271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PLACEMARK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926140172",
            "telephone_number": "949-510-7350",
            "fax_number": "949-266-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PLACEMARK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926140172",
            "telephone_number": "949-510-7350",
            "fax_number": "949-266-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSANADI",
        "first_name": "SAMEH MOUNIR YANNI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A51504",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A51504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.