Sam Safaee (NPI# 1609172030, PAC ID# 1951589944) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1609172030 |
| PAC ID by PECOS | 1951589944 |
| Professional Enrollment ID | I20110622000021 |
| Full Name | Sam Safaee |
| Organization Legal Name | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC |
| Address |
1223 Higuera St Suite 101 San Luis Obispo CA 93401-3167 |
| Phone Number | 8058844019 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8426028069 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| 050232 | FRENCH HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 218 N I St, Lompoc, CA 93436-0909 | 8057367886 | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC |
| 1223 Higuera St, Suite 101, San Luis Obispo, CA 93401-3167 | 8058844019 | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC |
| 801 E Chapel St, Santa Maria, CA 93454-4607 | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC | |
| 1050 Las Tablas Rd, Templeton, CA 93465-9480 | 8054345434 | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC |
| Organization Legal Name | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael They | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 3550 Q St, Bakersfield, CA 93301-1645 |
| Manli Huang | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 945 Blanco Cir, Suite A, Salinas, CA 93901-4421 |
| Analene Z Cesar | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 510 W 25th St, Merced, CA 95340-2802 |
| Brianna L Hoffmann | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 169 Ne 102nd Ave, Portland, OR 97220-4169 |
| Femi B Obanor | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 349 E Bullard Ave, Suite 105, Fresno, CA 93710-5298 |
| Krisztina Herrera | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 4080 Loma Vista Rd, Suite F, Ventura, CA 93003-1811 |
| Matthew Hadilaksono | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Suite 1, Santa Maria, CA 93454-4607 |
| Kendra N Brown Walker | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 2651 S C St, Suite 200, Oxnard, CA 93033-3560 |
| Heliodoro M Magana | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Olivia A Seibenick | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 2362 N Oxnard Blvd, Oxnard, CA 93036-2053 |
| Street Address |
1223 HIGUERA ST SUITE 101 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93401-3167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Prewitt | Obstetrics/gynecology | 1223 Higuera St, Suite 203, San Luis Obispo, CA 93401-3165 | |
| Cristina Tipei | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 1223 Higuera St, Suite 101, San Luis Obispo, CA 93401-3167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Spalding | Obstetrics/gynecology | 1551 Bishop Medical Plz, C310, San Luis Obispo, CA 93401 | |
| Nell Bennett | Clinical Social Worker | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Jeffrey Friedman | Psychologist, Clinical | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Kourosh Bagheri | Internal Medicine | 1177 Marsh St, Suite 100, San Luis Obispo, CA 93401-2316 | |
| Donald A Ramberg | Neurosurgery | 699 California Blvd, Suite B, San Luis Obispo, CA 93401-2507 | |
| Phillip Kissel | Neurosurgery | 699 California Blvd, Suite A, San Luis Obispo, CA 93401-2507 | |
| Steven C Johnson | Ophthalmology | 628 California Blvd, Suite C, San Luis Obispo, CA 93401-2547 | |
| Laura A Lubarsky | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| David C Anderson | Physician Assistant | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, San Luis Obispo, CA 93401-2551 |
| Michael James Ryan | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| Find all physicians in zip 93401 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAN LUIS OBISPO + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.