SAMUEL R WHITAKER MD PROF CORP (NPI# 1194962704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194962704 |
| Entity Type | Organization |
| Organization Name | SAMUEL R WHITAKER MD PROF CORP |
| Other Organization Name | SAMUEL R. WHITAKER, M.D. |
| Practice Address |
2888 Long Beach Blvd Ste 150 Long Beach CA 90806-1560 |
| Practice Telephone | 5629973990 |
| Practice Fax Number | 5629974166 |
| Mailing Telephone | 5629973990 |
| Mailing Fax Number | 5629974166 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2010-11-11 |
| Authorized Official Name | SAMUEL ROBINSON WHITAKER (SOLE PROPRIETOR) |
| Authorized Official Telephone | 5629973990 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SAMUEL R. WHITAKER, M.D. | Other Name - Individual/Organization |
| Street Address |
2888 LONG BEACH BLVD STE 150 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962404988 | Christie Ann Torti | Physical Therapist | 2888 Long Beach Blvd, #405, Long Beach, CA 90806-1530 | 2005-08-10 |
| 1811388499 | Kathryn Sanders | Occupational Therapy Assistant | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1530 | 2015-02-18 |
| 1669863304 | Tami Martin | Physical Therapy Assistant | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1530 | 2015-02-17 |
| 1053717504 | Orland Garcia | Occupational Therapist | 2888 Long Beach Blvd, #405, Long Beach, CA 90806-1530 | 2014-11-11 |
| 1043584089 | Silverton Nguyen | Physical Therapist | 2888 Long Beach Blvd, #405, Long Beach, CA 90806-1530 | 2012-03-07 |
| 1578878575 | Marvin Appel, M.d., Inc | Internal Medicine | 2888 Long Beach Blvd, Suite 215, Long Beach, CA 90806-1530 | 2010-08-13 |
| 1639498579 | Interventional Spine Center, LLC | Clinic/Center | 2888 Long Beach Blvd, Suite 210, Long Beach, CA 90806 | 2010-05-17 |
| 1144545427 | Medelity Healthcare, Inc. | Internal Medicine | 2888 Long Beach Blvd, 210, Long Beach, CA 90806-1530 | 2010-03-30 |
| 1194951194 | Matthew Eugene Harris | Anesthesiology | 2888 Long Beach Blvd, Suite 210, Long Beach, CA 90806-1530 | 2009-06-04 |
| 1437383064 | Arash Nafissi | Physical Medicine & Rehabilitation | 2888 Long Beach Blvd, 210, Long Beach, CA 90806-1530 | 2009-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962845834 | Yuan Liu | Otolaryngology | 11234 Anderson St Rm 2586a, Loma Linda, CA 92354-2804 | 2013-04-10 |
| 1699017301 | Shohet Ear Associates Medical Group Inc | Otolaryngology | 770 Pacific Coast Hwy, Seal Beach, CA 90740-6379 | 2013-03-20 |
| 1801152665 | Center for Fall Prevention, A Medical Corporation | Otolaryngology | 3831 Hughes Ave Ste 608, Culver City, CA 90232-6851 | 2012-04-05 |
| 1700151909 | Stuart Gerard Gherini | Otolaryngology | 1056 38th St, Sacramento, CA 95816-5513 | 2012-03-20 |
| 1144420738 | Shohet Ear Associates Medical Group Inc | Otolaryngology | 446 Old Newport Beach Blvd, Shohet Ear Associates Medical Group Inc, Newport Beach, CA 92663-4246 | 2007-07-20 |
| 1952426017 | Hernan Goldsztein | Otolaryngology | 530 Lomas Santa Fe Dr Ste 1, Solana Beach, CA 92075-1350 | 2007-03-20 |
| 1932253960 | Hana T. Bui, Md, A Professional Corporation | Otolaryngology | 1321 N Harbor Blvd Ste 101, Fullerton, CA 92835-4129 | 2007-01-23 |
| 1508876699 | Derald E Brackmann | Otolaryngology | 2100 W 3rd St Ste 111, Los Angeles, CA 90057-1999 | 2006-08-09 |
| 1629075635 | John Steven Oghalai | Otolaryngology | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2005-07-05 |
| 1356344022 | Kevin X Mckennan | Otolaryngology | 1111 Exposition Blvd Bldg 700, Sacramento, CA 95815-4314 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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| 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.