Individual provider Active NPI

Sami Mohammad Shoukair, M.D.

  • Cardiovascular Disease Physician
  • La Palma, CA
National Provider Identifier
1851319560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C39836 Issued in CA
Practice address
5471 La Palma Ave
Suite 203
La Palma, CA 90623-1745
Phone
(714) 523-7122
Fax
(714) 523-9813
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C39836 CA Primary

Addresses

Primary practice location

5471 La Palma Ave
Suite 203
La Palma, CA 90623-1745

Mailing address

424 Elmhurst PL
Fullerton, CA 92835-3511
Phone (714) 523-7122

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
I20090723000020 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9537155189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harinder S. Gogia, M.D., Inc.Group PAC ID 8527045004, 5 clinicians

Practice addresses (Care Compare)

5471 La Palma Ave
Suite 103
La Palma, CA 90623-1762
Phone (714) 523-7122

801 N Tustin Ave
Suite 706
Santa Ana, CA 92705-3611
Phone (714) 568-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C39836CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity Cardiology a Medical Group Cardiovascular Disease CurrentSince Jan 30, 1988 Accepting new patients
Harinder S. Gogia, M.D., Inc. CurrentSince Sep 1, 2013 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

3033 W Orange Ave
Anaheim, CA 92804
Phone (714) 229-5649

1801 W Romneya Dr
Ste 403
Anaheim, CA 92801
Phone (714) 491-7000

5471 La Palma Ave
Ste 103
La Palma, CA 90623
Phone (714) 523-7122

5471 La Palma Ave
Ste 203
La Palma, CA 90623
Phone (562) 424-2900

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

801 N Tustin Ave
Ste 706
Santa Ana, CA 92705
Phone (714) 568-6600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851319560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 ELMHURST PL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353511",
            "telephone_number": "714-523-7122",
            "fax_number": "714-523-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 LA PALMA AVE",
            "address_2": "SUITE 203",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231745",
            "telephone_number": "714-523-7122",
            "fax_number": "714-523-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUKAIR",
        "first_name": "SAMI",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C39836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

Verify at the official NPI Registry.