Organization Active NPI

Samantha J Chai MD Inc

  • Ophthalmology Physician
  • Culver City, CA
National Provider Identifier
1366867772
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A118261 Issued in CA
Legal business name
SAMANTHA J CHAI MD INC
Practice address
4180 La Salle Ave # 1
Culver City, CA 90232-3210
Phone
(213) 248-9692
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Samantha Chai
Title
President
Phone
(213) 248-9692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X A118261 CA Primary

Addresses

Primary practice location

4180 La Salle Ave # 1
Culver City, CA 90232-3210

Mailing address

4180 La Salle Ave # 1
Culver City, CA 90232-3210

National Provider Directory

National Provider Directory

Locations

1127 Wilshire Blvd
Ste 160
Los Angeles, CA 90017
Phone (213) 250-5333

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1366867772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 LA SALLE AVE # 1",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 LA SALLE AVE # 1",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323210",
            "telephone_number": "213-248-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA J CHAI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "CHAI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-248-9692"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A118261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.