NPIMap

Organization Active NPI

Henry Samtoy MD Inc

  • Cardiovascular Disease Physician
  • El Cajon, CA
National Provider Identifier
1639297740
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C34065 Issued in CA
Legal business name
HENRY SAMTOY MD INC
Practice address
1240 Broadway
Ste 210
El Cajon, CA 92021-4947
Phone
(619) 442-3446
Fax
(619) 442-3446
NPI assigned
Mar 27, 2007
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Henry Samtoy, MD
Title
Owner
Phone
(619) 442-3446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C34065 CA Primary

Addresses

Primary practice location

1240 Broadway
Ste 210
El Cajon, CA 92021-4947

Mailing address

1240 Broadway
Ste 210
El Cajon, CA 92021-4947
Phone (619) 442-3446

Other identifiers 2

IdentifierTypeStateIssuer
00C340651MedicaidCA
ZZZ79384ZOtherBLUE SHIELD

Other names 1

  • Henry Samtoy MD Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

1240 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 442-3446

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1639297740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BROADWAY",
            "address_2": "STE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214947",
            "telephone_number": "619-442-3446",
            "fax_number": "619-442-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BROADWAY",
            "address_2": "STE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214947",
            "telephone_number": "619-442-3446",
            "fax_number": "619-442-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY SAMTOY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "SAMTOY",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-442-3446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C34065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C340651",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ79384Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Samtoy MD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.