Individual provider Active NPI

David Samimi, MD

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1306044102
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A115710 Issued in CA
Practice address
1513 S Grand Ave
Ste 200
Los Angeles, CA 90015-3070
Phone
(213) 234-1000
Fax
(213) 234-1001
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A115710 CA Primary
Specialist 174400000X A115710 CA

Addresses

Primary practice location

1513 S Grand Ave
Ste 200
Los Angeles, CA 90015-3070

Mailing address

1513 S Grand Ave
Ste 200
Los Angeles, CA 90015-3070
Phone (213) 234-1000

Other identifiers 1

IdentifierTypeStateIssuer
1306044102MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000455 CA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 8224207451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
EyestheticaGroup PAC ID 2668553371, 6 clinicians

Practice addresses (Care Compare)

16055 Ventura Blvd
Suite 750
Encino, CA 91436-2610
Phone (213) 234-1000

2121 Wilshire Blvd
Suite 301
Santa Monica, CA 90403-5743
Phone (310) 299-8865

50 Central CT
Pasadena, CA 91105-2060
Phone (626) 662-7758

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
94.22 of 100Reported as group
Quality
79.75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115710CAMDMarriage & Family Therapist
A115710CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Eye Medical Group, Inc. Specialist CurrentSince Jul 1, 2015 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Dignity Community Care Past Accepting new patients
Huntington Hospital Association Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

1828 E Cesar E Chavez Ave
Ste 6500
Los Angeles, CA 90033
Phone (323) 263-6774

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: david.samimi@direct.eyesthetica.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1306044102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE",
            "address_2": "STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153070",
            "telephone_number": "213-234-1000",
            "fax_number": "213-234-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE",
            "address_2": "STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153070",
            "telephone_number": "213-234-1000",
            "fax_number": "213-234-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMIMI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A115710",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A115710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306044102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.