Organization Active NPI

Sam W. Abdelmelek,MD,Inc.

  • Internal Medicine Physician
  • Lakewood, CA
National Provider Identifier
1871865287
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A106876 Issued in CA
Legal business name
SAM W. ABDELMELEK,MD,INC.
Practice address
5750 Downey Ave Ste 201
Lakewood, CA 90712-1468
Phone
(562) 633-1616
Fax
(562) 633-5053
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Dr. Sam W Abdelmelek, MDNPI 1649414855
Title
President
Phone
(562) 633-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A106876 CA Primary

Addresses

Primary practice location

5750 Downey Ave Ste 201
Lakewood, CA 90712-1468

Mailing address

PO Box 6181
Lakewood, CA 90714-6181
Phone (562) 633-1616

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1871865287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6181",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907146181",
            "telephone_number": "562-633-1616",
            "fax_number": "562-633-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE STE 201",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121468",
            "telephone_number": "562-633-1616",
            "fax_number": "562-633-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM W. ABDELMELEK,MD,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "ABDELMELEK",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-633-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A106876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.