Samir Kadada, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A94909 Issued in CA

Practice address

20055 Lake Chabot Rd
Suite 300
Castro Valley, CA 94546-5331

Phone

(206) 375-0593

NPI assigned

Jul 29, 2006

Last updated

Apr 15, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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

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.

• MD Kadada Inc

  • Internal Medicine Physician
  • Castro Valley, CA
  • NPI 1396815973
  NPD (past) Authorized official
• Scenic Drive Inpatient Services LLC

  • Hospitalist Physician
  • Alamogordo, NM
  • NPI 1760701890
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1952315202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2095",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945460095",
            "telephone_number": "206-375-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20055 LAKE CHABOT RD",
            "address_2": "SUITE 300",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465331",
            "telephone_number": "206-375-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADADA",
        "first_name": "SAMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy
• JT Medical Supply Corporation (JT Medical Supplies)
• JT Medical Supply Corporation (CVH Medical Supplies)
• Dulce J Juarez
• Andrew Elijah Cabrillos Juntilla, PT
• Zev M Kahn, M.D.
• Janine Keiko Kaku, NP
• Kalsbeek Chiropractic Inc
• Brian Kalsbeek, D.C.
• Bhoomika Ramrao Kamath, M.D.

• Internal Medicine Physician in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.