Active NPI
Samir B Damani, MD
- Cardiovascular Disease Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A88989
- Practice address
- 9850 Genesee Ave
Suite 730
La Jolla, CA 92037 - Phone
- (858) 847-5064
- Fax
- (858) 433-4099
- NPI assigned
- Jul 18, 2006
- Last updated
- Jun 17, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A88989 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | A88989 | CA | Primary |
Addresses
Primary practice location
9850 Genesee Ave
Suite 730
La Jolla, CA 92037
Mailing address
9850 Genesee Ave
Suite 730
La Jolla, CA 92037
Phone (858) 847-5064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A889890 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MI, NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9850 Genesee Ave
Suite 650
La Jolla, CA 92037-1231
Phone (858) 800-2480
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 330 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdwatch Ca, PC | Current | Accepting new patients | |
| Samir B Damani MD Inc | Cardiovascular Disease | Current | Accepting new patients |
| Care Talk Health FL PA | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Mdwatch Medical Corp. | Current | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
9850 Genesee Ave
Ste 650
La Jolla, CA 92037
Phone (858) 223-2100
9850 Genesee Ave
Ste 730
La Jolla, CA 92037
Phone (858) 623-9394
655 Euclid Ave
Ste 401
National City, CA 91950
Phone (619) 267-8303
13280 Evening Creek Dr S
Ste 225
San Diego, CA 92128
Phone (858) 752-9735
607 Shelby St
Ste 700
Detroit, MI 48226
Phone (313) 284-7270
1350 Avenue of the Americas
Fl 21003
New York, NY 10019
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sdamani18884@scrippshlth.medalliesdirect.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IThrive Veins
- Cardiovascular Disease Physician
- La Jolla, CA
- NPI 1386113348
-
dba MD Revolution
- Cardiovascular Disease Physician
- La Jolla, CA
- NPI 1922371228
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Public Health & General Preventive Medicine Physician
- Bethesda, MD
- NPI 1477263077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1457379372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "SUITE 730",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-847-5064",
"fax_number": "858-433-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "SUITE 730",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-847-5064",
"fax_number": "858-433-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMANI",
"first_name": "SAMIR",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A88989",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A88989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A889890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
- Sarah Dalhoumi, MD
- Ashley Dalton
- Meghan Dale Dalton, MOT
- Alicia C Daly, RDHAP
- Joseph Terence Daly, M.D.
- Jennifer Marie Dan, M.D., PH.D.
- Dana P. Launer, M.D. and M.Jonathan Worsey, M.D, a Professional Corp. (San Diego Colon And Rectal Surgeons)
- Imad S. Dandan, M.D.
- Ida Danesh
- Andrew Binh Dang, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.