Organization Active NPI

Talal Samaan MD PC

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1740097674
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TALAL SAMAAN MD PC
Practice address
6869 Pandino CT
Rancho Cucamonga, CA 91701-8540
Phone
(818) 454-7239
NPI assigned
Dec 13, 2024
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Talal Samaan, MDNPI 1356699821
Title
President
Phone
(818) 454-7239

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

6869 Pandino CT
Rancho Cucamonga, CA 91701-8540

Mailing address

6869 Pandino CT
Rancho Cucamonga, CA 91701-8540
Phone (818) 454-7239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250116002326 CA Part B Supplier - Clinic/Group Practice 5496283525 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

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": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1740097674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6869 PANDINO CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917018540",
            "telephone_number": "818-454-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6869 PANDINO CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917018540",
            "telephone_number": "818-454-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALAL SAMAAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "SAMAAN",
        "authorized_official_first_name": "TALAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-454-7239",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.