Individual provider Active NPI

Samer Salim Ghostine, M.D.,M.S.

  • Neurological Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1316150600
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A86991 Issued in CA
Practice address
300 Stein Plaza Suite 420
Los Angeles, CA 90095-4165
Phone
(310) 825-5111
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A86991 CA Primary

Addresses

Primary practice location

300 Stein Plaza Suite 420
Los Angeles, CA 90095-4165

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

444 S San Vicente Blvd
suite # 800, c/o Dr. J. Patrick Johnson
Los Angeles, CA 90048-4165
Phone (310) 423-9710

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
I20090619000260 CA Practitioner - NeurosurgeryPractitioner - Orthopedic Surgery 3072664705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Georgetown University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355249491, 43 clinicians

Practice addresses (Care Compare)

26585 Agoura Rd
Calabasas, CA 91302-1958

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

757 Westwood PLZ
Los Angeles, CA 90095-8358

Hospital & facility affiliations

  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

Merit-based Incentive Payment System (MIPS)

Final score
83.91 of 100Reported as group
Quality
68.73
Promoting interoperability
100
Improvement activities
40
Cost
63.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion110
Laminectomy or laminotomy (partial removal of spine bones)85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Neurological Surgery CurrentSince May 1, 2023 Accepting new patients
The Regents of the University of California Neurological Surgery CurrentSince May 1, 2023 Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
UCLA Medical Group Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

26585 Agoura Rd
Ste 320
Calabasas, CA 91302
Phone (310) 999-9999

15503 Ventura Blvd
Ste 240
Encino, CA 91436
Phone (310) 825-7163

250 E Yale Loop
Ste A
Irvine, CA 92604
Phone (949) 653-2959

300 Stein Plz
Ste 420
Los Angeles, CA 90095
Phone (310) 267-2621

File 54206
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

Interoperability endpoints

  • Direct secure messaging: sghostine1184587@direct.uclahealth.org

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.

Hospital & facility affiliations 2

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1316150600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEIN PLAZA SUITE 420",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900954165",
            "telephone_number": "310-825-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 S San Vicente Blvd",
            "address_2": "suite # 800, c/o Dr. J. Patrick Johnson",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900484165",
            "country_code": "US",
            "telephone_number": "310-423-9710",
            "fax_number": "310-423-9897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOSTINE",
        "first_name": "SAMER",
        "middle_name": "SALIM",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A86991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.