Active NPI
Ashkan Samie, MD
- Internal Medicine Physician
- Crescent City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A161414
- Practice address
- 800 E Washington Blvd
Crescent City, CA 95531-8359 - Phone
- (707) 464-8511
- NPI assigned
- Jun 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A161414 | CA | |
| Internal Medicine Physician | 207R00000X | A161414 | CA | Primary |
Addresses
Primary practice location
800 E Washington Blvd
Crescent City, CA 95531-8359
Mailing address
800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- State University of New York at Stony Brook, School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14135 Main St
Hesperia, CA 92345-8092
Phone (760) 947-7405
15248 11TH St
Victorville, CA 92395-3704
Phone (760) 245-7051
16049 Kamana Rd
Apple Valley, CA 92307-1331
Phone (760) 242-8311
16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000
18300 US Hwy 18
Apple Valley, CA 92307-2206
Phone (760) 242-2311
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 835-7946
Hospital & facility affiliations
- DaVita Mojave Sage Dialysis
- DaVita Vista Del Sol Dialysis
- DaVita Hesperia Dialysis Center
- DaVita Victor Valley Dialysis
- Providence St Mary Medical Center
- Desert Valley Hospital
- Victor Valley Global Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A161414 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients | |
| Inland Empire Nephrology, Inc. | Nephrology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| Edgard M Vera MD Inc | Nephrology | Current | Accepting new patients |
| Desert Valley Hospital, LLC | Past | Accepting new patients | |
| Victor Valley Community Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
16049 Kamana Rd
Apple Valley, CA 92307
Phone (760) 242-8311
15990 Tuscola Rd
Apple Valley, CA 92307
Phone (760) 242-4808
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
400 N Pepper Ave
Ofc Of
Colton, CA 92324
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000
17207 Jasmine St
Ste 2
Victorville, CA 92395
Phone (760) 780-4179
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ashkan.samie@direct.davitaphysiciansolutions.com
Organizations & group practices 7
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.
-
- Nephrology Physician
- Victorville, CA
- NPI 1871734921
-
- Nephrology Physician
- Colton, CA
- NPI 1376061572
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1952311953
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Apple Valley, CA
- NPI 1861467607
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Victorville, CA
- NPI 1447615869
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hesperia, CA
- NPI 1952570541
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Victorville, CA
- NPI 1477836039
Dialysis facility
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1669456299
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1710109186
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1679879589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1780099127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E WASHINGTON BLVD",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955318359",
"telephone_number": "707-464-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E WASHINGTON BLVD",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955318359",
"telephone_number": "707-464-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMIE",
"first_name": "ASHKAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-24",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A161414",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A161414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crescent City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.