Organization Active NPI

Sam Abbassi, MD, Inc.

Doing business as Prime Eye Care Specialists, Inc.

  • Ophthalmology Physician
  • West Hills, CA
National Provider Identifier
1689347981
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SAM ABBASSI, MD, INC.
Doing business as
Prime Eye Care Specialists, Inc.
Practice address
7345 Medical Center Dr Ste 320
West Hills, CA 91307-1962
Phone
(818) 953-0093
Fax
(877) 883-9992
NPI assigned
Aug 1, 2021
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Dr. Sam Abbassi, MDNPI 1881937720
Title
President
Phone
(818) 953-0093

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

7345 Medical Center Dr Ste 320
West Hills, CA 91307-1962

Mailing address

7345 Medical Center Dr Ste 320
West Hills, CA 91307-1962
Phone (818) 953-0093

Other identifiers 1

IdentifierTypeStateIssuer
A133231MedicaidCA

Other names 1

  • Prime Eye Care Specialists, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220203001148 CA Part B Supplier - Clinic/Group Practice 0345633970 Receives reassigned benefits from 1 practitioner
Practice locations: West Hills, CA

National Provider Directory

National Provider Directory

Locations

22123 Sherman Way
Canoga Park, CA 91303

7345 Medical Center Dr
Ste 32
West Hills, CA 91307

9600 W Jewell Ave
Ste 3
Lakewood, CO 80232
Phone (502) 298-4664

Practitioners & affiliated clinicians

Practitioners 1

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": "1627776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1689347981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR STE 320",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071962",
            "telephone_number": "818-953-0093",
            "fax_number": "877-883-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR STE 320",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071962",
            "telephone_number": "818-953-0093",
            "fax_number": "877-883-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM ABBASSI, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-01",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "ABBASSI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-953-0093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A133231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Eye Care Specialists, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.