NPIMap

Individual provider Active NPI

Samuel Saeed Feizi, MD

  • Internal Medicine Physician
  • Northridge, CA
National Provider Identifier
1356389274
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G81831 Issued in CA
Practice address
18406 Roscoe Blvd
Northridge, CA 91325-4107
Phone
(818) 885-5480
Fax
(818) 885-5430
NPI assigned
Jun 3, 2006
Last updated
Jan 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G81831 CA Primary
Nephrology Physician 207RN0300X G56373 CA

Addresses

Primary practice location

18406 Roscoe Blvd
Northridge, CA 91325-4107

Mailing address

18406 Roscoe Blvd
Northridge, CA 91325-4107
Phone (818) 885-5480

Other identifiers 1

IdentifierTypeStateIssuer
00G818310MedicaidCA

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
I20050415000840 CA Practitioner - Internal MedicinePractitioner - Nephrology 8325085749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Emory University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

18406 Roscoe Blvd
Suite a
Northridge, CA 91325-4107
Phone (818) 700-5678

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81831CAMDPharmacist
G81831CAMDInternal Medicine Physician
G56373CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Mar 1, 2016 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Mar 1, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Past Accepting new patients
Kern Nephrology Medical Group Nephrology PastSince Apr 1, 2020 Accepting new patients

Locations

18406 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5480

18406 Roscoe Blvd
Ste A
Northridge, CA 91325
Phone (818) 700-5678

18460 Roscoe Blvd
Fl 2
Northridge, CA 91325
Phone (818) 885-5480

18460 Roscoe Blvd
Fl 3
Northridge, CA 91325
Phone (818) 885-5480

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1356389274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18406 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107",
            "telephone_number": "818-885-5480",
            "fax_number": "818-885-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18406 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107",
            "telephone_number": "818-885-5480",
            "fax_number": "818-885-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIZI",
        "first_name": "SAMUEL",
        "middle_name": "SAEED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G81831",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G56373",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G818310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.