Organization Active NPI

Samra University

  • Community Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1366613770
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SAMRA UNIVERSITY
Practice address
1730 W Olympic Blvd
Los Angeles, CA 90015-1019
Phone
(213) 381-1700
Fax
(213) 381-1701
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Teri Powers, DAOM LAC
Title
Clinic Director
Phone
(213) 381-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X CA Primary

Addresses

Primary practice location

1730 W Olympic Blvd
Los Angeles, CA 90015-1019

Mailing address

1730 W Olympic Blvd FL 3
Los Angeles, CA 90015-1019
Phone (213) 381-1700

National Provider Directory

National Provider Directory

Locations

1730 W Olympic Blvd
Fl 3
Los Angeles, CA 90015

1730 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 381-1700

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366613770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W OLYMPIC BLVD FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151019",
            "telephone_number": "213-381-1700",
            "fax_number": "213-381-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151019",
            "telephone_number": "213-381-1700",
            "fax_number": "213-381-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMRA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "213-381-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM LAC"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": null,
            "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 Jul 21, 2022; 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.