Organization Active NPI

Samedix, Inc

  • Inpatient Hospice
  • San Francisco, CA
National Provider Identifier
1407123326
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
Legal business name
SAMEDIX, INC
Practice address
1477 Grove St Ste 104
San Francisco, CA 94117-1421
Phone
(650) 216-7826
Fax
(800) 714-1077
NPI assigned
Nov 21, 2011
Last updated
Apr 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Mr. Stan Stukov
Title
President
Phone
(650) 218-7826

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU
Rehabilitation Clinic/Center 261QR0400X NU
Inpatient Hospice 315D00000X NU Primary

Addresses

Primary practice location

1477 Grove St Ste 104
San Francisco, CA 94117-1421

Mailing address

1455 Buckingham Way
Hillsborough, CA 94010-7363
Phone (650) 218-7826

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1407123326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BUCKINGHAM WAY",
            "city": "HILLSBOROUGH",
            "state": "CA",
            "postal_code": "940107363",
            "telephone_number": "650-218-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 GROVE ST STE 104",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171421",
            "telephone_number": "650-216-7826",
            "fax_number": "800-714-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMEDIX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "STUKOV",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-218-7826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.