Active NPI
Abdul Samad
- Histology Specialist/Technologist
- Modesto, CA
National Provider Identifier
1740763135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Histology Specialist/Technologist
- Practice address
- 4301 N Star Way
Modesto, CA 95356-9262 - Phone
- (209) 577-1200
- NPI assigned
- Sep 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Histology Specialist/Technologist | 246QH0600X | Primary |
Addresses
Primary practice location
4301 N Star Way
Modesto, CA 95356-9262
Mailing address
PO Box 576768
Modesto, CA 95357-6768
Phone (209) 577-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1740763135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576768",
"city": "MODESTO",
"state": "CA",
"postal_code": "953576768",
"telephone_number": "209-577-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 N STAR WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569262",
"telephone_number": "209-577-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAD",
"first_name": "ABDUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-11",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "246QH0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Histology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.