Individual provider Active NPI

Samir B Damani, MD

  • Cardiovascular Disease Physician
  • La Jolla, CA
National Provider Identifier
1457379372
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A88989 Issued in CA
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A889890MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI, NY, PA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20061003000751 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9830194406 Reassigns benefits to 1 organization
I20210601001015 MI Practitioner - Internal Medicine 9830194406 Reassigns benefits to 1 organization
I20210608003507 NY Practitioner - Internal Medicine 9830194406 Reassigns benefits to 1 organization
I20230222003223 PA Practitioner - Internal Medicine 9830194406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
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

ProcedureNumber of procedures
Varicose vein removal330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mdwatch Ca, PC CurrentSince Sep 1, 2020 Accepting new patients
Samir B Damani MD Inc Cardiovascular Disease CurrentSince Feb 15, 2019 Accepting new patients
Care Talk Health FL PA CurrentSince Feb 1, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Mdwatch Medical Corp. CurrentSince May 1, 2021 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.