Active NPI
Elie Samaan, D.C., MUAC
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1497046973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28531
- Practice address
- 1613 S Vermont Ave
Los Angeles, CA 90006-4521 - Phone
- (323) 731-8000
- NPI assigned
- May 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28531 | CA | Primary |
Addresses
Primary practice location
1613 S Vermont Ave
Los Angeles, CA 90006-4521
Mailing address
417 N Jackson St Apt 8
Glendale, CA 91206-3275
Phone (818) 438-5387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28531 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1497046973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 N JACKSON ST APT 8",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912063275",
"telephone_number": "818-438-5387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900064521",
"telephone_number": "323-731-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAAN",
"first_name": "ELIE",
"name_prefix": "Dr.",
"credential": "D.C., MUAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-02",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28531",
"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 Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.