Samuel Donohoe, MD, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A120494 Issued in CA

Legal business name

SAMUEL DONOHOE, MD, INC.

Practice address

3920 Clark St
San Diego, CA 92103-1649

Phone

(619) 461-1898

Fax

(619) 461-0198

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Virginia Amanda Marshall

Title

Billing Manager

Phone

(619) 461-1898

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1336579481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 CLARK ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031649",
            "telephone_number": "619-461-1898",
            "fax_number": "619-461-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 CLARK ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031649",
            "telephone_number": "619-461-1898",
            "fax_number": "619-461-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL DONOHOE, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "619-461-1898",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A120494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1073806865",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernardo Samson
• Genevieve Samson, LCSW
• Kyra Marina Samson, MD
• Rachel Tagum Samson, MSN, FNP-C
• Uyen Samson, PHARM.D
• Samuel G Soliven DDS Inc
• Samuel J. Clark, M.D., Inc.
• Samuel Kressin Acupuncture Apc
• Samantha Samuel-Williams, PA
• Julia Evelyn Samuel

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.