Samer Kabbani, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME113226 Issued in FL

Practice address

2332 23Rd St
Eureka, CA 95501-3231

Phone

(707) 444-8011

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Mouhamad Samer Kabbani Former name

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: skabbani1657868@oc.providencedirect.org

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.

• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  NPD (past)
• Toledo Cardiology Consultants Inc

  • Cardiovascular Disease Physician
  • Toledo, OH
  • NPI 1134164775
  NPD (past)
• Toledo Cardiology Consultants Inc

  • Cardiac Rehabilitation Registered Nurse
  • Toledo, OH
  • NPI 1811863202
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1851385223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 23RD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013231",
            "telephone_number": "707-444-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 23RD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013231",
            "telephone_number": "707-444-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABBANI",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35090479",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME113226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008638300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2814468",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIROAD MEDICARE",
            "identifier": "P00458216",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skabbani1657868@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2332 23rd St",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955013231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skabbani1657868@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1200 Marshall St",
            "city": "Crescent City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955312217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skabbani1657868@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2773 Harris St Ste A",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955034866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOUHAMAD",
            "last_name": "KABBANI",
            "middle_name": "SAMER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Euna Joy, DDS
• Gayla Carol Judd
• Debra Jean Judeikis, RN PHN
• Paul Hae Jung, DDS
• Salam Kabbani, PHARMD
• Kenneth Lesley Kaiser, OD
• Adriena Helena Kajdos, M.D.
• Jessica Marie Kalis
• Steven Kamelgarn, MD
• Julie Lou Ann Kami-Craven, RN

• Cardiovascular Disease Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.