Active NPI
Esther E Samadi, M.D
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1396986204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A113657
- Practice address
- 9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361 - Phone
- (858) 519-8045
- NPI assigned
- Mar 23, 2009
- Last updated
- Dec 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A113657 | CA | Primary |
Addresses
Primary practice location
9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361
Mailing address
9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361
Phone (858) 519-8045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 19, 2018 through Apr 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113657 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1396986204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9920 PACIFIC HEIGHTS BLVD STE 150",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214361",
"telephone_number": "858-519-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9920 PACIFIC HEIGHTS BLVD STE 150",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214361",
"telephone_number": "858-519-8045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMADI",
"first_name": "ESTHER",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-23",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A113657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.