Samuel Lewis Iqbal-Hofmeister, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42759 Issued in CA

Practice address

10255 Live Oak Blvd
Live Oak, CA 95953-2015

Phone

(530) 695-3700

Fax

(530) 695-3780

NPI assigned

Aug 15, 2014

Last updated

Feb 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Samuel Lewis Hofmeister Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group NPD
• Western Physical Therapy, Inc.

  dba Colusa Physical Therapy

  • Physical Therapy Clinic/Center
  • Colusa, CA
  • NPI 1740216332

  Physical Therapist

  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Western Physical Therapy, Inc.

  dba Summit Physical Therapy

  • Physical Therapist
  • Chico, CA
  • NPI 1598632697
  NPD
• Western Physical Therapy, Inc.

  dba Willows Physical Therapy

  • Physical Therapist
  • Willows, CA
  • NPI 1992732333
  NPD
• Farwest Rehabilitation, Inc

  dba Mountain View Physical Therapy

  • Specialist
  • Redding, CA
  • NPI 1861406100
  NPD (past)
• Northern Asset Management Inc

  dba Anderson Physical Therapy

  • Physical Therapist
  • Anderson, CA
  • NPI 1679599161
  NPD (past)

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1831598762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 LIVE OAK BLVD",
            "city": "LIVE OAK",
            "state": "CA",
            "postal_code": "959532015",
            "telephone_number": "530-695-3700",
            "fax_number": "530-695-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 LIVE OAK BLVD",
            "city": "LIVE OAK",
            "state": "CA",
            "postal_code": "959532015",
            "telephone_number": "530-695-3700",
            "fax_number": "530-695-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL-HOFMEISTER",
        "first_name": "SAMUEL",
        "middle_name": "LEWIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3024",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "3589",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1650 Eureka Road",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "HOFMEISTER",
            "middle_name": "LEWIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Guadalupe Cecilia Hernandez
• Tatiana Areli Hernandez, MA
• Kathryn Eleanor Hickey, DPT
• Glenn Houston
• Wendy Ruby Ibarra Diaz
• Snehaben Joshi, DPT
• Amina Khan
• Faiza Khan
• Uqsam Khan
• John W Kramer, MD

• Physical Therapist in Live Oak, CA
• Providers in Live Oak, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.