Kirk Samuels, DDS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1000 West Carson Street Box 19
Harbor-UCLA Medical Center
Torrance, CA 90509-4225

Phone

(424) 338-2401

NPI assigned

Jun 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1902288079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20810 ANZA AVE",
            "address_2": "#1-314",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034225",
            "telephone_number": "347-404-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WEST CARSON STREET BOX 19",
            "address_2": "HARBOR-UCLA MEDICAL CENTER",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905094225",
            "telephone_number": "424-338-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "KIRK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams West Inc
• Tatiana Vladimirovna Sams, MD
• Anna Victoria Samson
• Santhosi Sushma Samudrala
• Samuel Gabriel DMD, Inc
• Alberta Woodworth Samuelson, MD
• Tirah L Samura, MD
• Nicole San Agustin, RN, IBCLC
• Claudine Giselle San Gabriel, MSN, AGACNP-BC
• Erikka Michelle San Gabriel, NP

• Student in an Organized Health Care Education/Training Program in Torrance, CA
• Providers in Torrance, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.