NPIMap

Individual provider Active NPI

Samuel Mourani, M.D.

  • Specialist
  • Arcadia, CA
National Provider Identifier
1952303414
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A51162 Issued in CA
Practice address
488 E Santa Clara St
Suite 103
Arcadia, CA 91006-7231
Phone
(626) 359-3330
Fax
(626) 359-3339
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A51162 CA Primary

Addresses

Primary practice location

488 E Santa Clara St
Suite 103
Arcadia, CA 91006-7231

Mailing address

488 E Santa Clara St
Suite 103
Arcadia, CA 91006-7231
Phone (626) 359-3330

Other identifiers 1

IdentifierTypeStateIssuer
00A511620MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060616000221 CA Practitioner - Gastroenterology 2163322728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

488 E Santa Clara St
Suite 103
Arcadia, CA 91006-7231
Phone (626) 359-3330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy288
Upper gastrointestinal (GI) endoscopy for acid reflux182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A51162CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Institute of the South Bay Current Accepting new patients
Genesis Healthcare Partners PC Specialist CurrentSince Oct 1, 2022 Accepting new patients
Skyline Urology Specialist Current Accepting new patients
Mourani & Tarakji Medical Past Accepting new patients
Valley Gastroenterology Consultants PastSince Apr 20, 2007 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients

Locations

488 E Santa Clara St
Ste 203
Arcadia, CA 91006
Phone (626) 359-3330

488 E Santa Clara St
Ste 103
Arcadia, CA 91006
Phone (626) 359-3330

552 W Foothill Blvd
Ste 200
Glendora, CA 91741
Phone (626) 359-3330

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1952303414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST",
            "address_2": "SUITE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067231",
            "telephone_number": "626-359-3330",
            "fax_number": "626-359-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST",
            "address_2": "SUITE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067231",
            "telephone_number": "626-359-3330",
            "fax_number": "626-359-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURANI",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A51162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A511620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.