Samuel Ross MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A133185 Issued in CA

Legal business name

SAMUEL ROSS MD INC

Practice address

6360 Wilshire Blvd
#102
Los Angeles, CA 90048-5603

Phone

(323) 413-7677

NPI assigned

Mar 24, 2016

Last updated

Mar 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Ross, MDNPI 1689917486

Title

Principal

Phone

(323) 413-7677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Samuel Ross, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1689917486
  Medicare reassignment NPD Authorized official
• Daniel Margolies, PA

  • Physician Assistant
  • Van Nuys, CA
  • NPI 1427549278
  Medicare reassignment
• Carmen Marti, MSN FNP-BC

  • Family Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1093150633
  Medicare reassignment
• Cheryl Donath, DPM

  • Primary Podiatric Medicine Podiatrist
  • Los Angeles, CA
  • NPI 1699936997
  NPD (past)

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1366804825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD",
            "address_2": "#102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD",
            "address_2": "#102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485603",
            "telephone_number": "323-413-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL ROSS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "323-413-7677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A133185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel J Porter M D a Medical Corporation
• Samuel K. Lee, M.D., Inc.
• Samuel Loh, MD, Inc
• Samuel Oschin Cancer Center
• Samuel P Smith MD . Inc
• Samuel Roxas and Leoncia Roxas Dental Corp
• Jacqueline Diane Samuel-Cato, L.M.F.T.
• Dee Ann Maude Samuel, LVN
• Diana Samuel, BA
• Dorotha Lee Samuel

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, 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 Mar 24, 2016; 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.