Fred R Samimi, MD, a Professional Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A83265 Issued in CA

Legal business name

FRED R SAMIMI, MD, A PROFESSIONAL CORPORATION

Practice address

8765 Center Pkwy
#D
Sacramento, CA 95823-7682

Phone

(209) 575-4575

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fred R Samimi, MD

Title

President

Phone

(209) 575-4575

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Advantage Neurology Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advantage Neurology Medical Clinic

  • Neurology Physician
  • Elk Grove, CA
  • NPI 1669621579
  NPD tax ID

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700926920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4398",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524398",
            "telephone_number": "209-575-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 CENTER PKWY",
            "address_2": "#D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958237682",
            "telephone_number": "209-575-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED R SAMIMI, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMIMI",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-575-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A83265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A832650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luka Emiko Frazier
• Melissa Frances Frazier, LMFT
• Shakira Frazier
• Joan Carol Frazzini, MSW LCSW
• Fred Behavior Consulting LLC
• Milton C. Fredenburg, DPM
• Paige Herse Fredenburg
• Charles Fredericks, M.D.
• Justin Fredericks
• Cynthia Louise Frederickson, AUD

• Neurology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.