Ladan K. Samadi, M.D. Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A61255 Issued in CA

Legal business name

LADAN K. SAMADI, M.D. INC.

Practice address

27420 Tourney Rd
Suite 220
Valencia, CA 91355-5601

Phone

(661) 259-9979

Fax

(661) 259-1262

NPI assigned

Sep 26, 2006

Last updated

Jan 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ladan Khandabi Samadi, M.D.NPI 1801826748

Title

Head Doctor

Phone

(661) 259-9979

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ladan K Samadi, M.D.

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1801826748
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1780785956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55036",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913850036",
            "telephone_number": "661-259-9979",
            "fax_number": "661-259-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD",
            "address_2": "SUITE 220",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555601",
            "telephone_number": "661-259-9979",
            "fax_number": "661-259-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADAN K. SAMADI, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "SAMADI",
        "authorized_official_first_name": "LADAN",
        "authorized_official_middle_name": "KHANDABI",
        "authorized_official_title_or_position": "HEAD DOCTOR",
        "authorized_official_telephone_number": "661-259-9979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Valencia, CA
• Providers in Valencia, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.