Organization Active NPI

Samir Sairam, MD. Inc

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1902345036
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A97890 Issued in CA
Legal business name
SAMIR SAIRAM, MD. INC
Practice address
912 Cole St
#289
San Francisco, CA 94117-4316
Phone
(510) 283-9999
NPI assigned
Feb 22, 2017
Last updated
Apr 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Dr. Samir Sairam, M.D.NPI 1114148285
Title
President
Phone
(510) 283-9999

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
Family Medicine Physician 207Q00000X A97890 CA Primary

Addresses

Primary practice location

912 Cole St
#289
San Francisco, CA 94117-4316

Mailing address

912 Cole St
#289
San Francisco, CA 94117-4316
Phone (510) 283-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170622001310 CA Part B Supplier - Clinic/Group Practice 5496023020 Receives reassigned benefits from 3 practitioners
Practice locations: Oakland, CA

National Provider Directory

National Provider Directory

Locations

912 Cole St
San Francisco, CA 94117
Phone (415) 846-2791

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1902345036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 COLE ST",
            "address_2": "#289",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941174316",
            "telephone_number": "510-283-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 COLE ST",
            "address_2": "#289",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941174316",
            "telephone_number": "510-283-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR SAIRAM, MD. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "SAIRAM",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-283-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A97890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.