SAM BAROUDI (NPI# 1316936933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316936933 |
| Entity Type | Individual |
| Full Name | SAM BAROUDI |
| Credential | MD |
| Practice Address |
1926 Via Ctr Vista CA 92081-6056 |
| Practice Telephone | 7609407000 |
| Mailing Telephone | 7609407000 |
| Mailing Fax Number | 7609400042 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2019-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A67327 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | P00174334 | 01 |
| CA | MEDICARE | CB231242 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 910 Sycamore Ave, Suite 270, Vista, CA 920817832 | 7605981700 | 7605981700 |
| Street Address |
1926 VIA CTR |
| City | VISTA |
| State | CA |
| Zip Code | 92081-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878038 | Natalie Widmer | Behavior Technician | 1926 Via Ctr, Vista, CA 92081-6056 | 2020-07-09 |
| 1649804535 | Gilberto Damian Barajas | Behavior Technician | 1926 Via Ctr, Vista, CA 92081-6056 | 2020-02-28 |
| 1336773837 | Bayleigh Lynn Cluett | Behavior Technician | 1926 Via Ctr, Vista, CA 92081-6056 | 2020-02-24 |
| 1578129300 | Cristian Camargo Garcia | Behavior Technician | 1926 Via Ctr, Vista, CA 92081-6056 | 2019-05-16 |
| 1063959930 | Active Solutions Physical Therapy, PC | Clinic/Center | 1926 Via Ctr, Suite B, Vista, CA 92081-6056 | 2017-01-30 |
| 1740735745 | Vanessa Elizabeth Cordova | Nurse Practitioner | 1926 Via Ctr, Vista, CA 92081-6056 | 2016-08-18 |
| 1518364165 | Tri City Primary Care Medical Group, Inc | Family Medicine | 1926 Via Ctr, Vista, CA 92081-6056 | 2014-11-25 |
| 1609890813 | Jeffrey Martin Ferber | Family Medicine | 1926 Via Ctr, Vista, CA 92081-6056 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896202 | Maritza Mercado | Behavior Technician | 1926 Civic Center Dr Suite B, Vista, CA 92081 | 2020-03-13 |
| 1417599267 | Cherelle Artise Lewis | Behavior Technician | 1926 Via Centre Drive, Suite B, Vista, CA 92081 | 2019-10-14 |
| 1194101295 | Mary Stewart | Physical Therapist | 1515 S Melrose Dr, Vista, CA 92081 | 2015-07-31 |
| 1184069122 | Houri Fatourachi, Dds Inc | Dentist | 2325 S Melrose Dr., Vista, CA 92081 | 2013-05-03 |
| 1821377037 | Mori Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2320 La Mirada Dr, Vista, CA 92081 | 2011-08-05 |
| 1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1760650808 | Edward George Dougherty | Occupational Therapy Assistant | 1579 Wellington Lane, 51, Vista, CA 92081 | 2008-02-12 |
| 1831398676 | Longs Drug Stores California LLC | Pharmacy | 635 S Melrose Dr, Vista, CA 92081 | 2007-07-12 |
| 1346462231 | Houri Fatourachi | Dentist | 2325 South Melrose Drive, Vista, CA 92081 | 2007-05-02 |
| Find all providers in zip 92081 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871829606 | Michael N. Rutman, D.o., A Medical Corporation | Internal Medicine | 2355 S Melrose Dr, Vista, CA 92081-8788 | 2009-10-29 |
| 1689839722 | Galina L Khemlina | Internal Medicine | 1840 West Drive, Vista, CA 92083 | 2008-07-28 |
| 1962506238 | John Clancy | Internal Medicine | 2375 S Melrose Dr, Vista, CA 92081-8788 | 2006-09-08 |
| 1568475614 | Ethan T Nguyen | Internal Medicine | 2067 W Vista Way Ste 200, Vista, CA 92083-6033 | 2006-08-13 |
| 1164439667 | Franklin Galef | Internal Medicine | 2120 Thibodo Rd # 110, Vista, CA 92081-7901 | 2006-08-01 |
| 1245245018 | Reyzan E Shali | Internal Medicine | 130 Cedar Rd # 210, Vista, CA 92083-5102 | 2006-07-30 |
| 1558396077 | Seda Badalyan | Internal Medicine | 145 Thunder Dr Fl 1, Vista, CA 92083-6010 | 2006-07-12 |
| 1376574749 | Ryan W Stewart | Internal Medicine | 910 Sycamore Ave Ste 270, Vista, CA 92081-7852 | 2006-07-05 |
| 1376502062 | Jennifer Jil Silverman Newman | Internal Medicine | 1840 West Dr, Vista, CA 92083-6115 | 2006-03-21 |
| 1275519175 | Hanh M Bui | Internal Medicine | 2067 W Vista Way Ste 225, Vista, CA 92083-6001 | 2005-12-22 |
| Find all providers in VISTA | ||||
Please comment or provide details below to improve the information on SAM BAROUDI.
| 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.