Fred Samimi, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A83265 Issued in CA

Practice address

311 Oak Ridge Dr Ste 1
Roseville, CA 95661-3427

Phone

(916) 990-2828

Fax

(866) 728-8816

NPI assigned

Oct 10, 2006

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

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fred.samimi.p1@direct.apdss.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Neurology Medical Clinic

  • Neurology Physician
  • Elk Grove, CA
  • NPI 1669621579
  NPD (past) Authorized official
• Fred R. Samimi, M.D., a Professional Corporation

  • Neurology Physician
  • Elk Grove, CA
  • NPI 1083702906
  Authorized official Same address or phone

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1932297843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9108 LAGUNA MAIN ST STE 4",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587450",
            "telephone_number": "916-686-5566",
            "fax_number": "866-728-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 OAK RIDGE DR STE 1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613427",
            "telephone_number": "916-990-2828",
            "fax_number": "866-728-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1765 Challenge Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958155000",
            "country_code": "US",
            "telephone_number": "916-572-8172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5030 J St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193800",
            "country_code": "US",
            "telephone_number": "916-572-8172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMIMI",
        "first_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A83265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Michelle Salmon
• Patrick Salmon
• Lita Dapiaoen Salva
• Sam's Club Optical (Sam's Club Optical 30-6621)
• Samer Albadawi, DMD, MPH, Inc
• Ahmad F. Samir, MD
• Delinda Rose Samp, LMFT 110181
• Sams West Inc (Sams Pharmacy 10-6621)
• Samson Psychiatry Inc.
• Prudencio Gabriel Samson, MD

• Neurology Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.