Individual provider Active NPI

Saman Aboudi, MD

  • Family Medicine Physician
  • Chino Hills, CA
National Provider Identifier
1831112820
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A94832 Issued in CA
Practice address
3110 Chino Ave Ste 150B
Chino Hills, CA 91709-1295
Phone
(909) 630-7868
Fax
(909) 469-2109
NPI assigned
Jul 25, 2006
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A94832 CA Primary

Addresses

Primary practice location

3110 Chino Ave Ste 150B
Chino Hills, CA 91709-1295

Mailing address

3110 Chino Ave Ste 150B
Chino Hills, CA 91709-1295
Phone (909) 630-7868

Other practice location 1

2333 Foothill Blvd Ste C
LA Verne, CA 91750-3027
Phone (909) 392-6511

Other practice location 2

1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600
Phone (909) 865-9977

Other identifiers 2

IdentifierTypeStateIssuer
1831112820MedicaidCA
A94832OtherCACA MD LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20080129000129 CA Practitioner - Family Practice 5597847681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1601 Monte Vista Ave
Suite 190
Claremont, CA 91711-6600
Phone (909) 865-9977

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Aug 1, 2008 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Aug 1, 2008 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 1, 2007 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 1, 2007 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Current Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients

Locations

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

3110 Chino Ave
Ste 150B
Chino Hills, CA 91709
Phone (909) 630-7868

1601 Monte Vista Ave
Ste 100
Claremont, CA 91711
Phone (909) 630-7938

1601 Monte Vista Ave
Ste 190
Claremont, CA 91711
Phone (909) 865-9977

2333 Foothill Blvd
Ste C
La Verne, CA 91750
Phone (909) 392-6511

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

Organizations & group practices 7

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.

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1831112820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE STE 150B",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091295",
            "telephone_number": "909-630-7868",
            "fax_number": "909-469-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE STE 150B",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091295",
            "telephone_number": "909-630-7868",
            "fax_number": "909-469-2109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Foothill Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917503027",
            "country_code": "US",
            "telephone_number": "909-392-6511",
            "fax_number": "909-469-2137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Monte Vista Ave Ste 190",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917116600",
            "country_code": "US",
            "telephone_number": "909-865-9977",
            "fax_number": "909-469-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOUDI",
        "first_name": "SAMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831112820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MD LICENSE",
            "identifier": "A94832",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.