Organization Active NPI

Afshin Samet MD Prof Corp

  • Internal Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1740429588
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54105 Issued in CA
Legal business name
AFSHIN SAMET MD PROF CORP
Practice address
1429 E Thousand Oaks Blvd
Suite 101
Thousand Oaks, CA 91362-2801
Phone
(805) 277-2437
Fax
(805) 277-2437
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Afshin Samet, MD
Title
Owner
Phone
(805) 277-2437

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 0036364 IL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A54105 CA Primary

Addresses

Primary practice location

1429 E Thousand Oaks Blvd
Suite 101
Thousand Oaks, CA 91362-2801

Mailing address

PO Box 390005
San Diego, CA 92149-0005
Phone (619) 746-6530

Other identifiers 1

IdentifierTypeStateIssuer
1609896463OtherCAINDIVIUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1740429588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390005",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921490005",
            "telephone_number": "619-746-6530",
            "fax_number": "619-746-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622801",
            "telephone_number": "805-277-2437",
            "fax_number": "805-277-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFSHIN SAMET MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "SAMET",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-277-2437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "0036364",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIUAL NPI",
            "identifier": "1609896463",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.