Active NPI
Samuel Robert Beckerman, M.D., PH.D.
- Emergency Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A157860
- Practice address
- 1200 N State St
Clinic Tower Suite A7D
Los Angeles, CA 90033-1029 - Phone
- (323) 226-6937
- Fax
- (323) 226-8101
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A157860 | CA | Primary |
Addresses
Primary practice location
1200 N State St
Clinic Tower Suite A7D
Los Angeles, CA 90033-1029
Mailing address
1200 N State St
Clinic Tower Suite A7D
Los Angeles, CA 90033-1029
Phone (415) 215-3229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Miami, LM Miller School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
Phone 6264470296142
Hospital & facility affiliations
- Huntington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A157860 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| HMH Emergency Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Exer Medical Corporation | Current | Accepting new patients |
Locations (25 of 59)
831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273
242 S Robertson Blvd
Beverly Hills, CA 90211
Phone (310) 652-2300
26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
9726 Venice Blvd
Culver City, CA 90232
Phone (310) 202-1300
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
424 W Broadway
Glendale, CA 91204
Phone (818) 796-5396
1365 S Grand Ave
Glendora, CA 91740
Phone (626) 385-1456
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
2968 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 522-9500
4143 Campus Dr
Ste C200
Irvine, CA 92612
Phone (949) 471-0002
475 Foothill Blvd
La Canada, CA 91011
Phone (818) 528-6377
475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377
5101 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 800-3883
16818 Hawthorne Blvd
Lawndale, CA 90260
Phone (310) 542-0800
4200 E Pacific Coast Hwy
Ste 150
Long Beach, CA 90804
Phone (562) 498-1555
8985 Venice Blvd
Los Angeles, CA 90034
Phone (310) 474-2152
269 S San Pedro St
Los Angeles, CA 90012
Phone (213) 947-3600
8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020
4121 Santa Monica Blvd
Ste 106
Los Angeles, CA 90029
Phone (213) 335-7355
11560 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 477-8285
1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336
8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Pasadena, CA
- NPI 1659383024
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1407387475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "CLINIC TOWER SUITE A7D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "415-215-3229",
"fax_number": "323-226-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "CLINIC TOWER SUITE A7D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-226-6937",
"fax_number": "323-226-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKERMAN",
"first_name": "SAMUEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2021-05-13",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A157860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.