DR. SAMUEL JAIME PORTER (NPI# 1366500209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366500209 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL JAIME PORTER |
| Credential | M.D. |
| Practice Address |
321 N Larchmont Blvd Suite 618 Los Angeles CA 90004-6406 |
| Mailing Address |
321 N Larchmont Blvd Suite 618 Los Angeles CA 90004-3025 |
| Practice Telephone | 3234697133 |
| Practice Fax Number | 3234697150 |
| Mailing Telephone | 3234697133 |
| Mailing Fax Number | 3234697150 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A22916 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A229160 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588026231 | Samuel Porter | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2016-03-22 |
| 1588079305 | Samuel Grant Porter | Family Medicine | 800 W Frontier Ln, Olathe, KS 66061 | 2014-07-01 |
| 1225284557 | Samuel Porter | Radiology | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2008-08-18 |
| Street Address |
321 N LARCHMONT BLVD SUITE 618 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679542252 | Richard M Benoit | Obstetrics & Gynecology | 321 N Larchmont Blvd, Suite 525, Los Angeles, CA 90004-3025 | 2006-03-16 |
| 1740715051 | Richard Stafford | Dentist | 321 N Larchmont Blvd, Suite 721, Los Angeles, CA 90004-3025 | 2017-04-24 |
| 1124552484 | Robert Vonwendt | Dentist | 321 N Larchmont Blvd, Suite #722, Los Angeles, CA 90004-3025 | 2017-04-13 |
| 1518334945 | Sara Kenney Lcsw Inc | Social Worker | 321 N Larchmont Blvd, Suite 622, Los Angeles, CA 90004-3025 | 2015-09-02 |
| 1265851034 | Hancock Park Surgery Center, LLC | Clinic/Center | 321 N Larchmont Blvd, Suite 1011, Los Angeles, CA 90004-3025 | 2014-04-09 |
| 1821413592 | Larchmont Pediatrics, Inc. | Clinic/Center | 321 N Larchmont Blvd, Suite 1020, Los Angeles, CA 90004-3025 | 2014-03-04 |
| 1366863813 | Larchmont Surgery Center, LLC | Clinic/Center | 321 N Larchmont Blvd, Los Angeles, CA 90004-3025 | 2013-12-31 |
| 1083954226 | Rebecca Fitzgerald M.d., Inc. | Dermatology | 321 N Larchmont Blvd, Suite 906, Los Angeles, CA 90004-3025 | 2013-02-25 |
| 1851604771 | Carolyn Lee Taylor | Physician Assistant | 321 N Larchmont Blvd, Suite 505, Los Angeles, CA 90004-3025 | 2010-07-20 |
| 1225368558 | Richard M Benoit Md Inc | Obstetrics & Gynecology | 321 N Larchmont Blvd, Suite 525, Los Angeles, CA 90004-3025 | 2010-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| 1578011805 | Robert Maurice Carlton | Obstetrics & Gynecology | 1301 Warner Ave, Los Angeles, CA 90024-5125 | 2016-09-15 |
| 1346698628 | Leah Marsh | Obstetrics & Gynecology | Ucla Department of Ob/gyn 10833 Le Conte Ave 27-139 Chs, Los Angeles, CA 90095-1804 | 2016-05-27 |
| 1679927354 | Christina Tabit Evans | Obstetrics & Gynecology | 8315 Gonzaga Ave, Los Angeles, CA 90045-2577 | 2016-04-19 |
| 1831553544 | Sara Hatlen | Obstetrics & Gynecology | File 50978, Los Angeles, CA 90074-2004 | 2016-04-08 |
| 1477915601 | Xiaoyue Mona Guo | Obstetrics & Gynecology | 2020 Zonal Ave Ste 220, Los Angeles, CA 90089-2914 | 2016-03-26 |
| 1366814204 | Kristin Louie | Obstetrics & Gynecology | 1200 N State St # C3f-107, Los Angeles, CA 90033-1029 | 2015-10-29 |
| 1760879431 | Madison Sternberg | Obstetrics & Gynecology | 1701 E Cesar E Chavez Ave Ste 225, Los Angeles, CA 90033-2496 | 2015-04-21 |
| 1083000657 | Lydia Ning Lo | Obstetrics & Gynecology | 757 Westwood Plaza, Room B-711, Ucla Ob/gyn, Los Angeles, CA 90095-0001 | 2015-04-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
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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.