Organization Active NPI

Samer Alaiti MD Inc

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1346300613
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A51530 Issued in CA
Legal business name
SAMER ALAITI MD INC
Practice address
6200 Wilshire Blvd
Suite 1502
Los Angeles, CA 90048-5801
Phone
(323) 938-2626
Fax
(323) 938-2493
NPI assigned
Dec 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Dr. Samer Alaiti, M.D.NPI 1770591802
Title
President Ownner
Phone
(323) 938-2626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A51530 CA Primary

Addresses

Primary practice location

6200 Wilshire Blvd
Suite 1502
Los Angeles, CA 90048-5801

Mailing address

6200 Wilshire Blvd
Suite 1502
Los Angeles, CA 90048-5801
Phone (323) 938-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000587 CA Part B Supplier - Clinic/Group Practice 3173602646 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

6200 Wilshire Blvd
Ste 1502
Los Angeles, CA 90048
Phone (323) 938-2626

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1346300613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 1502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-938-2626",
            "fax_number": "323-938-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 1502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-938-2626",
            "fax_number": "323-938-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMER ALAITI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "ALAITI",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "PRESIDENT OWNNER",
        "authorized_official_telephone_number": "323-938-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A51530",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.