NPIMap

Organization Active NPI

Nancy J Samolitis MD Inc

  • Dermatology Physician
  • Long Beach, CA
National Provider Identifier
1356614499
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NANCY J SAMOLITIS MD INC
Practice address
3736 Atlantic Ave
Ste 101
Long Beach, CA 90807-3492
Phone
(562) 256-9929
Fax
(562) 256-9946
NPI assigned
Feb 21, 2012
Last updated
Feb 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Dr. Nancy J Samolitis, MDNPI 1164688230
Title
President
Phone
(562) 256-9929

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
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

3736 Atlantic Ave
Ste 101
Long Beach, CA 90807-3492

Mailing address

3736 Atlantic Ave
Ste 101
Long Beach, CA 90807-3492
Phone (562) 256-9929

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1356614499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 ATLANTIC AVE",
            "address_2": "STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073492",
            "telephone_number": "562-256-9929",
            "fax_number": "562-256-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 ATLANTIC AVE",
            "address_2": "STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073492",
            "telephone_number": "562-256-9929",
            "fax_number": "562-256-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY J SAMOLITIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "SAMOLITIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-256-9929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.