Active NPI
Christojohn Samuel MD Inc
- Surgery Physician
- Northridge, CA
National Provider Identifier
1851391544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C42242
- Legal business name
- CHRISTOJOHN SAMUEL MD INC
- Practice address
- 18300 Roscoe Blvd
Northridge, CA 91325-4105 - Phone
- (818) 365-1668
- Fax
- (818) 365-1189
- NPI assigned
- Jul 26, 2005
- Last updated
- Dec 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christojohn Samuel, MD
- Title
- President
- Phone
- (818) 365-1668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C42242 | CA | Primary |
Addresses
Primary practice location
18300 Roscoe Blvd
Northridge, CA 91325-4105
Mailing address
PO Box 950186
Mission Hills, CA 91395-0186
Phone (818) 365-1668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C422420 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- San Fernando, CA
- NPI 1134129828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576195200000",
"number": "1851391544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950186",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913950186",
"telephone_number": "818-365-1668",
"fax_number": "818-365-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254105",
"telephone_number": "818-365-1668",
"fax_number": "818-365-1189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOJOHN SAMUEL MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-26",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A",
"authorized_official_last_name": "SAMUEL",
"authorized_official_first_name": "CHRISTOJOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-365-1668",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C42242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C422420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.