DR. SAMUEL BLACK (NPI# 1245399781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245399781 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL BLACK |
| Credential | M.D. |
| Practice Address |
924 Westwood Blvd #660 Los Angeles CA 90024-2910 |
| Practice Telephone | 3102085892 |
| Practice Fax Number | 3102082302 |
| Mailing Telephone | 3102085892 |
| Mailing Fax Number | 3102082302 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A21130 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194188094 | Samuel Black | Internal Medicine | 22 S Greene St, Room N3e09, Baltimore, MD 21201-1544 | 2016-03-30 |
| 1457525222 | Samuel Arthur Black Jr. | Dentist | 100 E Newton St, Second Floor, Boston, MA 02118-2308 | 2008-04-14 |
| Street Address |
924 WESTWOOD BLVD #660 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90024-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790712412 | Jeffrey Dale Rawnsley | Otolaryngology | 924 Westwood Blvd, Suite 515, Los Angeles, CA 90024-2910 | 2006-06-27 |
| 1811421316 | Ryan Christopher Kunitake | Student in an Organized Health Care Education/Training Program | 924 Westwood Blvd, Suite 300 Ucla Emergency Medicine, Los Angeles, CA 90024 | 2017-04-12 |
| 1497288526 | Claudie Bolduc | Student in an Organized Health Care Education/Training Program | 924 Westwood Blvd, Suite 300, Los Angeles, CA 90024-2910 | 2017-04-05 |
| 1821529678 | Thomas Edward Akie | Student in an Organized Health Care Education/Training Program | 924 Westwood Blvd, Los Angeles, CA 90024-2910 | 2017-03-23 |
| 1609239185 | Jacqueline Kurth | Emergency Medicine | 924 Westwood Blvd, Suite 3000, Los Angeles, CA 90024-2910 | 2016-04-01 |
| 1134582166 | Alexandra Mcleroy-wallace | Emergency Medicine | 924 Westwood Blvd, Suite 300, Los Angeles, CA 90024-2910 | 2016-03-29 |
| 1548622749 | Luiz Souza-filho | Emergency Medicine | 924 Westwood Blvd, Ucla Emergency Medicine, Suite 300, Los Angeles, CA 90024-2910 | 2016-03-26 |
| 1770945545 | Aws Al-abdullah | Student in an Organized Health Care Education/Training Program | 924 Westwood Blvd, Suite 300, Los Angeles, CA 90024-2910 | 2016-03-22 |
| 1295190361 | Linnea Esselstrom | Psychologist | 924 Westwood Blvd, Suite 400, Los Angeles, CA 90024-2910 | 2015-12-16 |
| 1437537412 | Serge Alexanian | Pathology | 924 Westwood Blvd, Ste. 730, Los Angeles, CA 90095-1732 | 2015-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523071 | World of Health Therapy Inc | Behavioral Analyst | 1539 Woodruff Avenue, Apartment 304, Los Angeles, CA 90024 | 2019-11-21 |
| 1063988335 | Formation Inc | Nursing Care | 1611 Westwood Blvd, Los Angeles, CA 90024 | 2018-10-15 |
| 1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
| 1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
| 1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
| 1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
| 1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| Find all providers in zip 90024 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90024 |
Please comment or provide details below to improve the information on DR. SAMUEL BLACK.
| 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.