Individual provider Active NPI

Albert A Samadi, MD

  • Urology Physician
  • Valencia, CA
National Provider Identifier
1619952637
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A96238 Issued in CA
Practice address
23929 McBean Pkwy
Suite #200
Valencia, CA 91355-4466
Phone
(661) 290-5320
Fax
(661) 290-5321
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 211535 NY
Urology Physician 208800000X A96238 CA Primary

Addresses

Primary practice location

23929 McBean Pkwy
Suite #200
Valencia, CA 91355-4466

Mailing address

PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5637

Other identifiers 2

IdentifierTypeStateIssuer
02287272MedicaidNY
00A962380MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061114000286 CA Practitioner - Urology 6204818784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Facey Medical FoundationGroup PAC ID 3173436276, 324 clinicians

Practice addresses (Care Compare)

23803 McBean Pkwy
Suite 202
Valencia, CA 91355-4462
Phone (661) 481-2400

Hospital & facility affiliations

  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A96238CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation CurrentSince Sep 11, 2006 Accepting new patients
Providence Facey Medical Foundation Urology CurrentSince Sep 11, 2006 Accepting new patients
Our Lady of Mercy Medical Center Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Westchester Medical Center Past Accepting new patients
Montefiore North Ambulatory Care Center Inc Past Accepting new patients
St Francis Hospital - Poughkeepsie Past Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Urological Faculty Associates PC Urology Past Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients
Metropolitan Hospital-Pharmacy Past Accepting new patients
Our Lady of Mercy Ambulatory Care Center, Inc. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

File 50670
Los Angeles, CA 90074

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

26357 McBean Pkwy
Ste 390
Santa Clarita, CA 91355
Phone (661) 222-2600

23803 McBean Pkwy
Ste 201
Valencia, CA 91355
Phone (661) 481-2400

23803 McBean Pkwy
Ste 202
Valencia, CA 91355
Phone (661) 481-2400

23929 McBean Pkwy
Ste 200
Valencia, CA 91355
Phone (661) 254-6364

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1619952637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9602",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913469602",
            "telephone_number": "818-837-5637",
            "fax_number": "818-837-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23929 MCBEAN PKWY",
            "address_2": "SUITE #200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554466",
            "telephone_number": "661-290-5320",
            "fax_number": "661-290-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADI",
        "first_name": "ALBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "211535",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A96238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02287272",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A962380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.