Individual provider Active NPI

Samer Mahdi Kamal, MD

  • Psychiatry Physician
  • Visalia, CA
National Provider Identifier
1649458977
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A121370 Issued in CA
Practice address
1100 S Akers St
Kaweah Delta Mental Hospital
Visalia, CA 93277-8311
Phone
(559) 624-3300
NPI assigned
Feb 8, 2008
Last updated
Jan 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A121370 CA Primary

Addresses

Primary practice location

1100 S Akers St
Kaweah Delta Mental Hospital
Visalia, CA 93277-8311

Mailing address

2830 E Pershing CT
Visalia, CA 93292-3166
Phone (914) 574-3175

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
I20130824000030 CA Practitioner - Psychiatry 0547403438 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Desert Psychological ServicesGroup PAC ID 2860819125, 82 clinicians
Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians

Practice addresses (Care Compare)

15497 W Sand St
Victorville, CA 92392-2910
Phone (442) 327-9311

3625 E Thousand Oaks Blvd
Suite 232
Westlake Village, CA 91362-6932
Phone (818) 518-9715

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Current Accepting new patients
High Desert Psychological Services CurrentSince Nov 14, 2024 Accepting new patients
Department of State Hospitals CurrentSince Nov 7, 2022 Accepting new patients
Department of State Hospitals CurrentSince Nov 7, 2022 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince Feb 16, 2020 Accepting new patients
Pacific Heritage Medical Group Inc CurrentSince Feb 1, 2023 Accepting new patients
County of Riverside CurrentSince Oct 11, 2014 Accepting new patients
County of Riverside CurrentSince Oct 11, 2014 Accepting new patients
County of Stanislaus PastSince Aug 5, 2013 Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

1330 W Ramsey St
Ste 100
Banning, CA 92220
Phone (951) 849-7142

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

15497 W Sand St
Victorville, CA 92392
Phone (442) 327-9311

3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715

6200 Canoga Ave
Ste 108
Woodland Hills, CA 91367
Phone (617) 204-3500

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1649458977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 E PERSHING CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932923166",
            "telephone_number": "914-574-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S AKERS ST",
            "address_2": "KAWEAH DELTA MENTAL HOSPITAL",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778311",
            "telephone_number": "559-624-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAL",
        "first_name": "SAMER",
        "middle_name": "MAHDI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A121370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.