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Sam A Ebrahimi

Vascular Surgeon Cardiothoracic Vascular Surgeon

18375 Ventura Blvd Suite# 404
Tarzana , California 91356-4218

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Image

Sam A Ebrahimi

Vascular Surgeon Cardiothoracic Vascular Surgeon

18375 Ventura Blvd Suite# 404
Tarzana , California 91356-4218

(301) 537-7751

Write a Review Save Call

Sam A Ebrahimi

Vascular Surgeon Cardiothoracic Vascular Surgeon

18375 Ventura Blvd Suite# 404
Tarzana , California 91356-4218

(301) 537-7751 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Vascular Surgeon
  • Cardiothoracic Vascular Surgeon

Languages spoken

  • English

Location

18375 Ventura Blvd Suite# 404 Tarzana , California 91356-4218

First Address

  • Sam A Ebrahimi
  • 18375 Ventura Blvd Suite# 404
  • Tarzana, CA
  • Zip : 91356-4218
  • Phone : (301) 537-7751

Second Address

  • Sam A Ebrahimi
  • 18375 Ventura Blvd Suite# 404
  • Tarzana, CA
  • Zip : 91356-4218
  • Phone : (818) 422-5322

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FAQs


Where did Sam A Ebrahimi attend graduate school?

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Where did Sam A Ebrahimi do his residency?

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Where did Sam A Ebrahimi do his fellowship?

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Is Sam A Ebrahimi board certified?

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What type of doctor is Sam A Ebrahimi

Cardiothoracic Vascular Surgeon

In what state does Sam A Ebrahimi practice in?

California

Where is Sam A Ebrahimi ’s practice located?

18375 Ventura Blvd Suite# 404 , Tarzana, California, 91356-4218

What is Sam A Ebrahimi ’s gender?

Male

Is Sam A Ebrahimi a sole practitioner?

No

Is Sam A Ebrahimi accepting new patients?

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What languages does Sam A Ebrahimi speak?

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Does Sam A Ebrahimi accept insurance?

Yes, Sam A Ebrahimi accepts insurance

Does Sam A Ebrahimi offers telemedicine?

Sam A Ebrahimi has not indicated if he offers telemedicine

What is Sam A Ebrahimi ’s professional license number?

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What is Sam A Ebrahimi ’s NPI number?

1114916376

Does Sam A Ebrahimi have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 2086S0129X Vascular Surgeon 0101233742 VA
N 2086S0129X Vascular Surgeon D0059318 MD
N 2086S0129X Vascular Surgeon MD33806 DC
Y 208G00000X Cardiothoracic Vascular Surgeon A060777 CA

National Provider Identifier

NPI 1114916376
Provider Name Sam A Ebrahimi
First Address Tarzana, CA 91356-4218
Second Address Tarzana, CA 91356-4218
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 19/10/2005
Last Update Date 23/10/2016

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
035556900 (05) DC
100336 JHHC PRIORITY PARTNER (01)
404465702 (05) MD
4129526 MAMSI LIFE & HEALTH (01)
484AWA CAREFIRST MARYLAND (01) MD
H78581 (02)
J449-0010 CAREFIRST (01) DC
P00435744 RAILROAD MEDICARE (01) DC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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