NPIMap

Organization Active NPI

Samimi Orthopedic Group, Inc.

  • Orthopaedic Surgery Physician
  • Covina, CA
National Provider Identifier
1780803080
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A043899 Issued in CA
Legal business name
SAMIMI ORTHOPEDIC GROUP, INC.
Practice address
970 S Village Oaks Dr Ste 100
Covina, CA 91724-3626
Phone
(800) 974-5633
NPI assigned
Apr 25, 2007
Last updated
Sep 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Authorized official

Name
Dr. Babak Samimi, MDNPI 1912121377
Title
Cfo
Phone
(626) 338-7391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A043899 CA Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X A043899 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A36076 CA

Addresses

Primary practice location

970 S Village Oaks Dr Ste 100
Covina, CA 91724-3626

Mailing address

PO Box 1628
West Covina, CA 91793-1628
Phone (626) 338-7391

Other practice location 1

11710 Wilshire Blvd
Los Angeles, CA 90025-1503
Phone (800) 974-5633

Other practice location 2

1182 Bristol St
Costa Mesa, CA 92626-8602
Phone (800) 974-5633

Other practice location 3

716 W Broadway Ste 200
Glendale, CA 91204-1010
Phone (800) 974-5633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419000727 CA Part B Supplier - Clinic/Group Practice 0547208746 Receives reassigned benefits from 10 practitioners
Practice locations: Costa Mesa, CA; Covina, CA; Downey, CA; Encino, CA; Glendale, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1182 Bristol St
Costa Mesa, CA 92626
Phone (714) 957-6889

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788652800000",
    "number": "1780803080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1628",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917931628",
            "telephone_number": "626-338-7391",
            "fax_number": "626-814-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 S VILLAGE OAKS DR STE 100",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243626",
            "telephone_number": "800-974-5633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11710 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251503",
            "country_code": "US",
            "telephone_number": "800-974-5633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1182 Bristol St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926268602",
            "country_code": "US",
            "telephone_number": "800-974-5633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 W Broadway Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912041010",
            "country_code": "US",
            "telephone_number": "800-974-5633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAMIMI ORTHOPEDIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "SAMIMI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-338-7391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A043899",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "A043899",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A36076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.