Active NPI
Samuel Herbert Sandweiss, M.D.
- Psychosomatic Medicine Physician
- San Diego, CA
National Provider Identifier
1497960470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- C282970
- Practice address
- 767 Amiford Dr
San Diego, CA 92107-4254 - Phone
- (619) 224-7586
- Fax
- (619) 225-9401
- NPI assigned
- May 11, 2007
- 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 |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | C282970 | CA | Primary |
Addresses
Primary practice location
767 Amiford Dr
San Diego, CA 92107-4254
Mailing address
767 Amiford Dr
San Diego, CA 92107-4254
Phone (619) 224-7586
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C282970 | CA | MD | Psychosomatic Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497960470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 AMIFORD DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921074254",
"telephone_number": "619-224-7586",
"fax_number": "619-225-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 AMIFORD DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921074254",
"telephone_number": "619-224-7586",
"fax_number": "619-225-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDWEISS",
"first_name": "SAMUEL",
"middle_name": "HERBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "CA",
"license": "C282970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.