Active NPI
David Samimi, MD
- Ophthalmology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A115710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306044102 | 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
- Ophthalmology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.22 of 100
- Quality
- 79.75
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115710 | CA | MD | Marriage & Family Therapist |
| A115710 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Eye Medical Group, Inc. | Specialist | Current | 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
- 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.
-
- Specialist
- Pasadena, CA
- NPI 1568687853
-
- Specialist
- Los Angeles, CA
- NPI 1437203635
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
-
- Skilled Nursing Facility
- Chewelah, WA
- NPI 1700038197
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.