Organization Active NPI

Patricia C Samuels MD Inc

  • Infectious Disease Physician
  • Murrieta, CA
National Provider Identifier
1902047319
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
PATRICIA C SAMUELS MD INC
Practice address
25405 Hancock Ave
Ste 105
Murrieta, CA 92562-5982
Phone
(951) 505-2591
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Dr. Patricia C Samuels, MDNPI 1336210459
Title
Owner
Phone
(951) 505-2591

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

25405 Hancock Ave
Ste 105
Murrieta, CA 92562-5982

Mailing address

6230 Wilshire Blvd
Ste 184
Los Angeles, CA 90048-5126
Phone (951) 505-2591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090414000590 CA Part B Supplier - Clinic/Group Practice 2567519382 Receives reassigned benefits from 1 practitioner
Practice locations: Murrieta, CA; Wildomar, CA; San Diego, CA; Riverside, CA; Rancho Cucamonga, CA; Perris, CA; Menifee, CA; Los Angeles, CA…

National Provider Directory

National Provider Directory

Locations

6230 Wilshire Blvd
#184
Los Angeles, CA 90048
Phone (951) 505-2591

6230 Wilshire Blvd
Ste 184
Los Angeles, CA 90048
Phone (213) 999-7714

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": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1902047319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 WILSHIRE BLVD",
            "address_2": "STE 184",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485126",
            "telephone_number": "951-505-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25405 HANCOCK AVE",
            "address_2": "STE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625982",
            "telephone_number": "951-505-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA C SAMUELS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-505-2591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.