Samaritan Surgical Clinic Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SAMARITAN SURGICAL CLINIC INC

Doing business as

Jamal Modir MD

Practice address

2505 Samaritan Dr #301
San Jose, CA 95124

Phone

(408) 358-1933

Fax

(408) 358-4212

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Fran Modir

Title

Office Manager

Phone

(408) 358-1933

Specialties & licenses 1

Addresses

Other names 1

• Jamal Modir MD Doing business as

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881749661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR #301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-358-1933",
            "fax_number": "408-358-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR #301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-358-1933",
            "fax_number": "408-358-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN SURGICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MODIR",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-358-1933"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamal Modir MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samaritan Medical Center Pharmacy
• Samaritan Orthopedic & Medical GP. Inc
• Samaritan Plastic Surgery Center, Inc
• Samaritan Podiatry Group Inc.
• Samaritan Surgery Center
• Amira Samater
• Hussein Amirali Samji, M.D.
• Clifford Michael Samoranos
• Sofiia Sampara
• Bharat Reddy Sampathi, MD

• Surgery Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.