Samy Metyas, M.D., Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A72678 Issued in CA

Legal business name

SAMY METYAS, M.D., INC.

Practice address

500 W San Bernardino Rd Ste a
Covina, CA 91722-3797

Phone

(626) 966-1909

Fax

(626) 966-2629

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Samy Kamal Metyas, M.D.NPI 1831104694

Title

President

Phone

(626) 966-1909

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Samy K Metyas, MD

  • Rheumatology Physician
  • Covina, CA
  • NPI 1831104694
  Medicare reassignment Care Compare group NPD Authorized official
• Christina Lydia Chen, DO

  • Rheumatology Physician
  • Covina, CA
  • NPI 1952661829
  Medicare reassignment Care Compare group NPD
• Roshan Patel, M.D.

  • Rheumatology Physician
  • Covina, CA
  • NPI 1457709131
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1942309745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W SAN BERNARDINO RD STE A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223797",
            "telephone_number": "626-966-1909",
            "fax_number": "626-966-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W SAN BERNARDINO RD STE A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223797",
            "telephone_number": "626-966-1909",
            "fax_number": "626-966-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMY METYAS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "METYAS",
        "authorized_official_first_name": "SAMY",
        "authorized_official_middle_name": "KAMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-966-1909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A72678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A726780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sharron Joyce Sampson
• Michael James Sams
• San Gabriel Children'S Center Inc.
• San Gabriel Children'S Center Incorporated
• San Gabriel Children'S Center, Inc.
• San Gabriel Childrens Center Inc
• Emily Ann Sanchez Gonzalez

• Medical Specialty Clinic/Center in Covina, CA
• Providers in Covina, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.