Farha Samaan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT299598 Issued in CA

Practice address

701 E 28TH St Ste 111
Long Beach, CA 90806-2715

Phone

(562) 492-6870

Fax

(818) 337-2049

NPI assigned

Jan 7, 2021

Last updated

Jul 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mesisca Physical Therapy IncGroup PAC ID 6406749548, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mesisca Physical Therapy Inc

  • Geriatric Physical Therapist
  • Laguna Niguel, CA
  • NPI 1821104472
  Medicare reassignment Care Compare group NPD
• JM Physical Therapy Inc

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1558658336
  NPD (past)

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1821686551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 111",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062715",
            "telephone_number": "562-492-6870",
            "fax_number": "818-337-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 111",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062715",
            "telephone_number": "562-492-6870",
            "fax_number": "818-337-2049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7230 Medical Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913071907",
            "country_code": "US",
            "telephone_number": "818-518-5980",
            "fax_number": "818-337-2049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAAN",
        "first_name": "FARHA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT299598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE PHYSICAL THERAPY",
            "identifier": "PT299598",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "farha@kwellness.com",
            "affiliation": "N",
            "endpointDescription": "farha@kwellness.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 E 28th St Ste 111",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908062715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "farha@kwellness.com",
            "affiliation": "N",
            "endpointDescription": "farha@kwellness.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 E 28th St Ste 111",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908062715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willy Peter Salvosa-Chua, LVN
• Phaly Sam II, MS
• Sidary Sam, MSW
• Sophorn Sonnie Sam
• Sam's Club Optical (Sam's Club Optical 30-6613)
• Fawzia F Samaan, M.D.
• Amanda Samaniego
• Miguel Angel Samaniego
• Tritia Samaniego
• Samaritana Medical Clinic Long Beach Inc

• Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.