Individual provider Active NPI

Ladan K Samadi, M.D.

  • Internal Medicine Physician
  • Valencia, CA
National Provider Identifier
1801826748
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61255 Issued in CA
Practice address
27420 Tourney Rd
Suite 220
Valencia, CA 91355-5601
Phone
(661) 259-9979
Fax
(661) 259-1262
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61255 CA Primary

Addresses

Primary practice location

27420 Tourney Rd
Suite 220
Valencia, CA 91355-5601

Mailing address

27420 Tourney Rd
Suite 220
Valencia, CA 91355-5601
Phone (661) 259-9979

Other identifiers 1

IdentifierTypeStateIssuer
A61255OtherCALIFORNIA MEDICAL LICENS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031230000601 CA Practitioner - Internal Medicine 2961300793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27420 Tourney Rd
Suite 220
Valencia, CA 91355-5634
Phone (661) 259-9979

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ladan K. Samadi, M.D. Inc. Internal Medicine CurrentSince Jun 18, 2009 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients
University Physicians Group P C Internal Medicine Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients

Locations

27420 Tourney Rd
Ste 220
Valencia, CA 91355
Phone (661) 259-9979

Interoperability endpoints

  • Direct secure messaging: lks102pcs1429@primeclinicalsystems.direct-ci.com

Organizations & group practices 6

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 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801826748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "SAMADI",
        "first_name": "LADAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENS",
            "identifier": "A61255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.