Saman Ghalili, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A88734 Issued in CA

Practice address

2101 S San Pedro St
Los Angeles, CA 90011-1125

Phone

(213) 745-8766

Fax

(213) 745-8704

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Emergency MedicineAlso: Diagnostic Radiology, Family Practice, General Practice, Geriatric Medicine

Education

Tufts University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Sam Ghalili MD Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1720453574
  Medicare reassignment NPD
• Saman Ghalili MD Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1366735813
  NPD Authorized official
• S & S Medical Group, Inc.

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1548458987
  NPD

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1891724993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111125",
            "telephone_number": "213-745-8766",
            "fax_number": "213-745-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111125",
            "telephone_number": "213-745-8766",
            "fax_number": "213-745-8704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 E 21st St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900111146",
            "country_code": "US",
            "telephone_number": "213-749-7110",
            "fax_number": "213-749-2749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHALILI",
        "first_name": "SAMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A88734",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A88734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A88734",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anchal Ghai, M.D.
• Paria Ghalavand
• Ojan Ghalchi, DMD
• Mohammad Ghalichi, M.D.
• Maziar Mark Ghalili, D.O.
• Steven Ghalili, MD
• Nare Ghaltakhchyan
• Azmy F Ghaly, MEDICAL DOCTOR
• Maged Ghaly
• Christina Ghanbari, DPT

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.