Samuel Robinson Whitaker, M.D.

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

G44301 Issued in CA

Practice address

1041 S Garfield Ave
Ste 207
Alhambra, CA 91801-4765

Phone

(626) 872-0192

Fax

(626) 872-0194

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1629136684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 S GARFIELD AVE",
            "address_2": "STE 207",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014765",
            "telephone_number": "626-872-0192",
            "fax_number": "626-872-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 S GARFIELD AVE",
            "address_2": "STE 207",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014765",
            "telephone_number": "626-872-0192",
            "fax_number": "626-872-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "SAMUEL",
        "middle_name": "ROBINSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G44301",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "G44301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G443010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "G44301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otology & Neurotology Physician in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Otology & Neurotology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.