Individual provider Active NPI

Haidy Samaan

  • Medical Specialty Clinic/Center
  • Anaheim, CA
National Provider Identifier
1558041103
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Practice address
1671 W Katella Ave Ste 245
Anaheim, CA 92802-3053
Phone
(949) 549-1500
NPI assigned
Jul 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Medical Specialty Clinic/Center 261QM2500X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1671 W Katella Ave Ste 245
Anaheim, CA 92802-3053

Mailing address

289 S Owens Dr
Anaheim, CA 92808-1327
Phone (949) 549-1500

Other practice location 1

3617 Venice Blvd Ste A
Los Angeles, CA 90019-6170
Phone (949) 549-1500

Other practice location 2

1031 La Salle Cir
Corona, CA 92879-7923
Phone (949) 549-1500

Other practice location 3

32341 Camino Capistrano Ste K
San Juan Capistrano, CA 92675-4514
Phone (949) 549-1500

Other practice location 4

610 W Route 66
Glendora, CA 91740-4147
Phone (949) 549-1500

Other identifiers 1

IdentifierTypeStateIssuer
1558041103OtherCANPI

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nits N Lice LLC Emergency Care CurrentSince Sep 8, 2024 Accepting new patients

Locations

1671 W Katella Ave
Ste 245
Anaheim, CA 92802
Phone (949) 549-1500

3617 Venice Blvd
Ste A
Los Angeles, CA 90019
Phone (949) 549-1500

32341 Camino Capistrano
Ste K
San Juan Capistrano, CA 92675
Phone (949) 549-1500

Organizations & group practices 1

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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1558041103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 S OWENS DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081327",
            "telephone_number": "949-549-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 W KATELLA AVE STE 245",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023053",
            "telephone_number": "949-549-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3617 Venice Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900196170",
            "country_code": "US",
            "telephone_number": "949-549-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 La Salle Cir",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928797923",
            "country_code": "US",
            "telephone_number": "949-549-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32341 Camino Capistrano Ste K",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926754514",
            "country_code": "US",
            "telephone_number": "949-549-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 W Route 66",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917404147",
            "country_code": "US",
            "telephone_number": "949-549-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAAN",
        "first_name": "HAIDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558041103",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.