Samuel W Kaufman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A28426 Issued in CA

Practice address

825 Trinity LN
Claremont, CA 91711-2957

Phone

(909) 946-2801

Fax

(909) 946-3247

NPI assigned

Feb 26, 2007

Last updated

Apr 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1790811610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 996",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917850996",
            "telephone_number": "909-920-1049",
            "fax_number": "909-946-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 TRINITY LN",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112957",
            "telephone_number": "909-946-2801",
            "fax_number": "909-946-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "SAMUEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A28426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A284260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Kang, PHARMD
• Elaine Miller Karas, MSW, LCSW
• Bernard Karmatz, M.S.
• Mary Kasem, MD
• Katharine Albert LCSW & Associates
• Preet Kamal Kaur, DMD
• Renee C Kavanagh, M.S.W., LCSW, PPSC
• Natalie Kelly, PH.D.
• Gurucharan Singh Khalsa, PHD
• Tatiana Jacqueline Khawaja

• Psychiatry Physician in Claremont, CA
• Providers in Claremont, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.