Romeo Samouh MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A127159 Issued in CA

Legal business name

ROMEO SAMOUH MD INC

Practice address

811 E 11TH St Ste 102
Upland, CA 91786-4872

Phone

(909) 360-8737

Fax

(909) 377-5302

NPI assigned

Feb 10, 2017

Organization subpart

No

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

Authorized official

Name

Romeo Samouh, M.D.NPI 1316225436

Title

MD/President

Phone

(909) 360-8737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Romeo Samouh, M.D.

  • Family Medicine Physician
  • Upland, CA
  • NPI 1316225436
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1508304544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST STE 102",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864872",
            "telephone_number": "909-360-8737",
            "fax_number": "909-377-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST STE 102",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864872",
            "telephone_number": "909-360-8737",
            "fax_number": "909-377-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMEO SAMOUH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "SAMOUH",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "909-360-8737",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A127159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Jessica Rojas Gonzalez
• Esteban Rojas Jr.
• Sadie Rojas, LMFT
• Mayra Roman Hernandez, FNP-C
• Amanda Roman
• Marisol Karina Romero, D.D.S.
• Maya Romero
• Richard Romero
• Sandra I. Romero, COUNSELOR
• Jessica Romo Gutierrez

• Family Medicine Physician in Upland, CA
• Providers in Upland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.