Organization Active NPI

Samir B Damani MD Inc

Doing business as IThrive Veins

  • Cardiovascular Disease Physician
  • La Jolla, CA
National Provider Identifier
1386113348
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SAMIR B DAMANI MD INC
Doing business as
IThrive Veins
Practice address
9850 Genesee Ave Ste 650
La Jolla, CA 92037-1231
Phone
(858) 800-2480
Fax
(858) 216-1908
NPI assigned
Nov 20, 2018
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Dr. Samir B Damani, MDNPI 1457379372
Title
Owner/President
Phone
(858) 245-6775

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
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 650
La Jolla, CA 92037-1231

Mailing address

9850 Genesee Ave Ste 650
La Jolla, CA 92037-1231
Phone (858) 800-2480

Other names 1

  • IThrive Veins Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190206001115 CA Part B Supplier - Clinic/Group Practice 0244578847 Receives reassigned benefits from 3 practitioners
Practice locations: La Jolla, CA; National City, CA

National Provider Directory

National Provider Directory

Locations

106 S Grape St
#4
Escondido, CA 92025

9850 Genesee Ave
Ste 650
La Jolla, CA 92037
Phone (858) 223-2100

1425 Frazee Rd
San Diego, CA 92108
Phone (619) 293-7233

5965 Village Way
Ste E207
San Diego, CA 92130
Phone (858) 800-2480

9191 Towne Centre Dr
Ste 510
San Diego, CA 92122
Phone (858) 245-6775

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1386113348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 650",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371231",
            "telephone_number": "858-800-2480",
            "fax_number": "858-216-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 650",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371231",
            "telephone_number": "858-800-2480",
            "fax_number": "858-216-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR B DAMANI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "DAMANI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-245-6775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IThrive Veins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.