Active NPI
Samina Qamar, M.D.
- Family Medicine Physician
- Lodi, CA
National Provider Identifier
1720006067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C52665
- Practice address
- 1300 W Lodi Ave
Lodi, CA 95242-3000 - Phone
- (209) 366-1990
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 45780 | WI | |
| Family Medicine Physician | 207Q00000X | C52665 | CA | Primary |
Addresses
Primary practice location
1300 W Lodi Ave
Lodi, CA 95242-3000
Mailing address
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34404400 | Medicaid | WI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52665 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Services Group | Past | Accepting new patients | |
| Dodge City Medical Center Chartered | Family Medicine | Past | Accepting new patients |
| Sutter Gould Medical Foundation | Family Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1336162726
-
- Family Medicine Physician
- Modesto, CA
- NPI 1326093360
-
- General Practice Physician
- Dodge City, KS
- NPI 1437131265
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1720006067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554201",
"telephone_number": "209-524-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W LODI AVE",
"city": "LODI",
"state": "CA",
"postal_code": "952423000",
"telephone_number": "209-366-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QAMAR",
"first_name": "SAMINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "45780",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C52665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34404400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.