Individual provider Active NPI

Saman Alexander Samadani, M.D.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1487095535
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A138123 Issued in CA
Practice address
2480 Sonoma St
Redding, CA 96001-3027
Phone
(530) 225-7800
NPI assigned
Jul 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A138123 CA Primary

Addresses

Primary practice location

2480 Sonoma St
Redding, CA 96001-3027

Mailing address

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-7800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607002610 CA Practitioner - Family Practice 1254632219 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138123CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center CurrentSince May 22, 2017 Accepting new patients
Shasta Community Health Center Current Accepting new patients
Shasta Community Health Center Family Medicine CurrentSince May 22, 2017 Accepting new patients

Locations

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

1035 Placer St
Redding, CA 96001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1487095535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 ROSALINE AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012549",
            "telephone_number": "530-225-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013027",
            "telephone_number": "530-225-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADANI",
        "first_name": "SAMAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A138123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.