DR. PEGAH SAMOUHI (NPI# 1023565165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023565165 |
| Entity Type | Individual |
| Full Name | DR. PEGAH SAMOUHI |
| Credential | DPM |
| Practice Address |
8631 W 3rd St Los Angeles CA 90048-5901 |
| Mailing Address |
16661 Ventura Blvd Ste 705 Encino CA 91436-1990 |
| Practice Telephone | 3106572828 |
| Mailing Telephone | 8187897891 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
EL6732 | CA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5404 | CA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16661 Ventura Blvd, Ste 705, Encino, CA 914361990 | 8187897891 | |
| 8700 Beverly Blvd, West Hollywood, CA 900481804 | 3104232777 |
| Street Address |
8631 W 3RD ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481741 | Behnam David Massaband | Podiatrist | 8631 W 3rd St, Suite 940-e, Los Angeles, CA 90048-5901 | 2005-07-20 |
| 1073047155 | Drh Md Mph A Professional Medical Corporation | Specialist | 8631 W 3rd St, 1135e, Los Angeles, CA 90048-5917 | 2017-04-17 |
| 1083155592 | Colby Perkins Souders | Urology | 8631 W 3rd St, East Medical Office Tower, Suite 930, Los Angeles, CA 90048-5901 | 2017-03-16 |
| 1609326958 | Mls Audiology LLC | Audiologist | 8631 W 3rd St, Suite 312e, Los Angeles, CA 90048-5901 | 2016-10-11 |
| 1669846556 | Tkmd Corp | Surgery | 8631 W 3rd St, Suite 200e, Los Angeles, CA 90048-5901 | 2015-11-16 |
| 1164893236 | Swaraj Bose, Md, Inc | Ophthalmology | 8631 W 3rd St, Suite 200e, Los Angeles, CA 90048-5901 | 2015-10-14 |
| 1821468125 | Ramin Youssefzadeh | Counselor | 8631 W 3rd St, 225e, Los Angeles, CA 90048-5901 | 2015-09-29 |
| 1679942817 | Stanley E. Kahan Md, PC | Internal Medicine | 8631 W 3rd St, Suite 735e, Los Angeles, CA 90048-5901 | 2015-09-17 |
| 1558737510 | Kapil Gupta Md A Professional Corporation | Clinic/Center | 8631 W 3rd St, #1015-e, Los Angeles, CA 90048-5901 | 2015-08-13 |
| 1033501101 | Ais Medical Foods, Inc. | Non-Pharmacy Dispensing Site | 8631 W 3rd St, Suite 1145e, Los Angeles, CA 90048-5901 | 2015-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| 1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
| 1467960690 | Jonathan Tavakoli | Podiatrist | 11932 Goshen Ave Ph 1, Los Angeles, CA 90049-7309 | 2018-01-22 |
| 1356899231 | Tehrani Foot and Ankle, Inc. | Podiatrist | 2514 S Central Ave, Los Angeles, CA 90011-1635 | 2016-09-20 |
| 1316301807 | Lucas Hultman | Podiatrist | 100 Ucla Medical Plaza Suite 460, Los Angeles, CA 90095 | 2016-04-11 |
| 1164887048 | University Foot & Ankle Institute Podiactric Surgical Center | Podiatrist | 5230 Pacific Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2015-12-21 |
| 1447670955 | New Hope Podiatry Group Inc. | Podiatrist | 3612 1/2 E. First Street, Los Angeles, CA 90063-2326 | 2014-04-23 |
| 1275974487 | Anthony Cannizzaro | Podiatrist | 3158 Federal Ave, Los Angeles, CA 90066-1225 | 2013-07-16 |
| 1235576968 | Jim Kasha | Podiatrist | 3016 Waverly Dr, Suite 308, Los Angeles, CA 90039-2052 | 2013-06-04 |
| 1285993451 | Benjamin Tehrani | Podiatrist | 2514 S. Central Avenue, Los Angeles, CA 90011 | 2012-05-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on DR. PEGAH SAMOUHI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.