Individual provider Active NPI

Samuel Ira Fink, M.D.

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1740376433
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A41830 Issued in CA
Practice address
5620 Wilbur Avenue
Suite 333
Tarzana, CA 91356-1311
Phone
(818) 609-0700
Fax
(818) 705-3954
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A41830 CA Primary

Addresses

Primary practice location

5620 Wilbur Avenue
Suite 333
Tarzana, CA 91356-1311

Mailing address

5620 Wilbur Avenue
Suite 333
Tarzana, CA 91356-1311
Phone (818) 609-0700

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
I20050114000910 CA Practitioner - Internal Medicine 1254380603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5620 Wilbur Ave
Suite 333
Tarzana, CA 91356-1311
Phone (818) 609-0700

Hospital & facility affiliations

  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

National Provider Directory

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

Organizations & group practices 1

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.

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1740376433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVENUE",
            "address_2": "SUITE 333",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561311",
            "telephone_number": "818-609-0700",
            "fax_number": "818-705-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVENUE",
            "address_2": "SUITE 333",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561311",
            "telephone_number": "818-609-0700",
            "fax_number": "818-705-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "SAMUEL",
        "middle_name": "IRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A41830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.