Sam Bakshian MD a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G77202 Issued in CA

Legal business name

SAM BAKSHIAN MD A MEDICAL CORPORATION

Practice address

6330 San Vicente Blvd
Suite 310
Los Angeles, CA 90048-5425

Phone

(310) 855-0751

Fax

(310) 657-6342

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Debbie Belloso

Title

Biller/Collector

Phone

(310) 855-0751

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Stodolsky, P.T.

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1699788091
  Medicare reassignment Care Compare group NPD
• Sam Bakshian, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Los Angeles, CA
  • NPI 1760406169
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1932374261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485425",
            "telephone_number": "310-855-0751",
            "fax_number": "310-657-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485425",
            "telephone_number": "310-855-0751",
            "fax_number": "310-657-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM BAKSHIAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "BELLOSO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BILLER/COLLECTOR",
        "authorized_official_telephone_number": "310-855-0751"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G77202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Elizabeth Salyards, M.S., CCC-SLP
• Caroline Antonia Salz, MA, LMFT
• Garrett Salzman, MD
• Mark B. Salzman, MD
• Sam a. Lavi DMD Inc
• Sam Breen, Licensed Marriage and Family Therapist, Inc.
• Sam Ghalili MD Inc
• Amy Evette Sam Kwarteng, MD
• Sam Sanandaji, DPM
• Sam Vaziri Vance Inc. (Sama)

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.