Organization Active NPI

Rodney Samaan MD Inc

  • Cardiovascular Disease Physician
  • Mission Hills, CA
National Provider Identifier
1447660824
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A119309 Issued in CA
Legal business name
RODNEY SAMAAN MD INC
Doing business as
ProgressiveMD
Practice address
14901 Rinaldi St
Ste. 335
Mission Hills, CA 91345-1204
Phone
(818) 906-4711
Fax
(877) 991-4121
NPI assigned
May 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Dr. Rodney Anton SamaanNPI 1578776720
Title
Founder
Phone
(818) 906-4711

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A119309 CA Primary

Addresses

Primary practice location

14901 Rinaldi St
Ste. 335
Mission Hills, CA 91345-1204

Mailing address

5632 Van Nuys Blvd Ste 185
Van Nuys, CA 91401-4602
Phone (818) 906-4711

Other names 1

  • ProgressiveMD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140627001352 CA Part B Supplier - Clinic/Group Practice 9335364785 Receives reassigned benefits from 1 practitioner
Practice locations: Van Nuys, CA
O20160324001548 CA DME Supplier - Physician - Internal MedicineDME Supplier - Sports Medicine 9335364785 Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1447660824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 VAN NUYS BLVD STE 185",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914014602",
            "telephone_number": "818-906-4711",
            "fax_number": "877-991-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "STE. 335",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-906-4711",
            "fax_number": "877-991-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY SAMAAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "SAMAAN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "818-906-4711",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A119309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProgressiveMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProgressiveMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.