Organization Active NPI

Samadian Inc

  • General Practice Dentistry
  • Orinda, CA
National Provider Identifier
1619404738
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
100377 Issued in CA
Legal business name
SAMADIAN INC
Practice address
23 Orinda Way Ste 301
Orinda, CA 94563-2520
Phone
(925) 254-2360
Fax
(925) 254-7392
NPI assigned
May 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Dr. Amin Samadian, DDSNPI 1073066874
Title
Founder and Ceo
Phone
(310) 913-8242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 100377 CA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 100377 CA Primary

Addresses

Primary practice location

23 Orinda Way Ste 301
Orinda, CA 94563-2520

Mailing address

769 11TH Ave
San Francisco, CA 94118-3614

National Provider Directory

National Provider Directory

Locations

23 Orinda Way
Ste 301
Orinda, CA 94563
Phone (925) 254-2360

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1619404738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 11TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ORINDA WAY STE 301",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632520",
            "telephone_number": "925-254-2360",
            "fax_number": "925-254-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMADIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "SAMADIAN",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "310-913-8242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "100377",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.