Individual provider Active NPI

Ashkan Samie, MD

  • Internal Medicine Physician
  • Crescent City, CA
National Provider Identifier
1780099127
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A161414 Issued in CA
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

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191230002268 CA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0446684385 Reassigns benefits to 3 organizations
I20200512000533 HI Practitioner - Critical Care (Intensivists) 0446684385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Critical Care (Intensivists), Internal Medicine
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
Edgard M Vera MD IncGroup PAC ID 3971640988, 4 clinicians
Inland Empire Nephrology IncGroup PAC ID 7911267588, 6 clinicians

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 Dialysis facility, Victorville, CA, CCN 552708
  • DaVita Vista Del Sol Dialysis Dialysis facility, Victorville, CA, CCN 552834
  • DaVita Hesperia Dialysis Center Dialysis facility, Hesperia, CA, CCN 552626
  • DaVita Victor Valley Dialysis Dialysis facility, Apple Valley, CA, CCN 052561
  • Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300
  • Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
  • Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161414CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Permanente Medical Group Inc CurrentSince Mar 2, 2020 Accepting new patients
Inland Empire Nephrology, Inc. Nephrology CurrentSince Jun 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Oct 23, 2019 Accepting new patients
Edgard M Vera MD Inc Nephrology CurrentSince Jun 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.