Individual provider Active NPI

Samer Alaiti, MD

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1770591802
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A51530 Issued in CA
Practice address
6200 Wilshire Blvd
Suite 1502
Los Angeles, CA 90048-5801
Phone
(323) 938-2626
Fax
(323) 938-2493
NPI assigned
Aug 4, 2006
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A51530 CA Primary

Addresses

Primary practice location

6200 Wilshire Blvd
Suite 1502
Los Angeles, CA 90048-5801

Mailing address

1100 S la Cienega Blvd
Los Angeles, CA 90035-2519
Phone (323) 938-2626

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
I20080508000546 CA Practitioner - Dermatology 5698854156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 S la Cienega Blvd
Los Angeles, CA 90035-2519
Phone (310) 854-0500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Removal of skin lesions165
Removal of skin cancer31
Skin biopsy94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51530CAMDMental Health Counselor
A51530CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samer Alaiti MD Inc CurrentSince Mar 29, 2008 Accepting new patients
Miracle Mile Medical Center for Dermatology and Cosmetic Surgery, Inc Past Accepting new patients
Fadi Chahin, M.D. Inc Past Accepting new patients

Locations

1100 S La Cienega Blvd
Los Angeles, CA 90035
Phone (310) 657-2200

6200 Wilshire Blvd
Ste 1502
Los Angeles, CA 90048
Phone (323) 938-2626

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1770591802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S LA CIENEGA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352519",
            "telephone_number": "323-938-2626",
            "fax_number": "323-938-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 1502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-938-2626",
            "fax_number": "323-938-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAITI",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A51530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.