NPIMap

Individual provider Active NPI

Sam Baroudi, MD

  • Internal Medicine Physician
  • Vista, CA
National Provider Identifier
1316936933
Registry record updated Sep 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A67327 Issued in CA
Practice address
1926 Via Ctr
Vista, CA 92081-6056
Phone
(760) 940-7000
NPI assigned
Oct 17, 2005
Last updated
Sep 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A67327 CA Primary

Addresses

Primary practice location

1926 Via Ctr
Vista, CA 92081-6056

Mailing address

1926 Via Ctr
Vista, CA 92081-6056
Phone (760) 940-7000

Other practice location 1

910 Sycamore Ave
Suite 270
Vista, CA 92081-7832
Phone (760) 598-1700

Other identifiers 2

IdentifierTypeStateIssuer
CB231242OtherCAMEDICARE
P00174334OtherCARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000627 CA Practitioner - Internal Medicine 3678465465 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-City Primary Care Medical Group IncGroup PAC ID 3870810823, 8 clinicians

Practice addresses (Care Compare)

1926 Via Ctr
Suite a
Vista, CA 92081-6056
Phone (760) 940-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Oct 7, 2017 Accepting new patients
Enlightened Healthcare Alliance Medical Corporation Internal Medicine CurrentSince May 28, 2022 Accepting new patients
North County Inpatient Medical Alliance, a Medical Group, Inc CurrentSince Jun 5, 2022 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Encinitas Palliative Care Associates, Inc. Internal Medicine Past Accepting new patients
Premier Surgical Partners Inc Past Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Ukiah Adventist Hospital Past Accepting new patients
Vista Woods Health Associates LLC PastSince Jun 22, 2025 Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

662 Encinitas Blvd
Ste 204
Encinitas, CA 92024
Phone (760) 203-5545

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

4002 Vista Way
Ste 405
Oceanside, CA 92056
Phone (760) 724-8411

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

660 4th St
San Francisco, CA 94107
Phone (415) 349-0850

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sam.baroudi@tricityprimarycare.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vista Knoll Specialized Care FacilityVista, CA, CCN 555425 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Apr 12, 2016
Apr 12, 2016
Jun 22, 2025
Ardent HospiceCarlsbad, CA, CCN 551767 Hospice W-2 Managing Employee Sep 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1316936933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 VIA CTR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "760-940-7000",
            "fax_number": "760-940-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 VIA CTR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "760-940-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Sycamore Ave",
            "address_2": "SUITE 270",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920817832",
            "country_code": "US",
            "telephone_number": "760-598-1700",
            "fax_number": "760-598-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAROUDI",
        "first_name": "SAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB231242",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00174334",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.