Samuel K Wirtschafter MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A181060 Issued in CA

Legal business name

SAMUEL K WIRTSCHAFTER MD INC

Practice address

1360 W 6TH St
Suite 315N
San Pedro, CA 90732-3514

Phone

(310) 832-4517

Fax

(310) 832-6419

NPI assigned

Apr 18, 2007

Last updated

Mar 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel K Wirtschafter, MD

Title

President

Phone

(310) 832-4517

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phyllis R. Monroe, M.D.

  • Internal Medicine Physician
  • San Pedro, CA
  • NPI 1790704799
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1598982175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE 315N",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-832-4517",
            "fax_number": "310-832-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE 315N",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-832-4517",
            "fax_number": "310-832-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL K WIRTSCHAFTER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "WIRTSCHAFTER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-832-4517",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A181060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A181060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Jessie Salas
• Teresa Saldana
• Dafne Ileana Salgado Jovel
• Ma Christina Salgado-Cortez
• Amber Rochelle Salvador
• Samuels Chiropractic Health Corporation
• Khaleed Samuels, D.C. C.C.S.P
• San Miguel Urgent Care San Pedro
• San Pedro Acupuncture Corporation (San Pedro Acupuncture Health Center)
• San Pedro Convalescent Home, Inc. (Los Palos Convalescent Hospital)

• Gastroenterology Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.