Sam S Ahn (NPI# 1497783831, PAC ID# 7719995083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1497783831 |
| PAC ID by PECOS | 7719995083 |
| Professional Enrollment ID | I20060328000465 |
| Full Name | Sam S Ahn |
| Organization Legal Name | MISSION SURGICAL CLINIC INC |
| Address |
3660 Park Sierra Dr Suite 105 Riverside CA 92505-3071 |
| Phone Number | 9512788870 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1978 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 1456313501 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450051 | METHODIST DALLAS MEDICAL CENTER |
| 050290 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| 051317 | ADVENTIST HEALTH CLEARLAKE |
| Address | Phone | Organization |
|---|---|---|
| 121 S 77th Ave, Barstow, CA 92311-3058 | 3102092011 | UNIVERSITY VASCULAR ASSOCIATES INC |
| 221 W Colorado Blvd, Suite 625, Dallas, TX 75208-2345 | 2149465165 | DFW VASCULAR GROUP LLP |
| 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 | 9512788870 | MISSION SURGICAL CLINIC INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% |
| Organization Legal Name | MISSION SURGICAL CLINIC INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Syweyu Chin | General Surgery | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Ahmed M Mahmoud | General Surgery | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Shaun C Daly | General Surgery | Mission Surgical Clinic Inc | 2250 S Main St, Suite 206, Corona, CA 92882-2507 |
| Tom Y Lin | General Surgery | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Xiujie Wang | Vascular Surgery | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Michael N Tran | General Surgery | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Tina T Ng | Vascular Surgery | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Monica Falcon | Physician Assistant | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Anthony H Chau | Vascular Surgery | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Street Address |
3660 PARK SIERRA DR SUITE 105 |
| City | RIVERSIDE |
| State | CA |
| Zip | 92505-3071 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Marie Payne | Nurse Practitioner | Nephrology Associates Medical Group Inc | 3660 Park Sierra Dr, Suite 208, Riverside, CA 92505-3059 |
| Michael Syweyu Chin | General Surgery | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Ahmed M Mahmoud | General Surgery | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Chao-huang Sun | Nephrology | Nephrology Associates Medical Group Inc | 3660 Park Sierra Dr, Suite 208, Riverside, CA 92505-3059 |
| Sible Rebello | Nurse Practitioner | Nephrology Associates Medical Group Inc | 3660 Park Sierra Dr, Suite 208, Riverside, CA 92505-3059 |
| Tom Y Lin | General Surgery | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Xiujie Wang | Vascular Surgery | Mission Surgical Clinic Inc | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 |
| Patricia A Paulhus | Nurse Practitioner | Nephrology Associates Medical Group Inc | 3660 Park Sierra Dr, Suite 208, Riverside, CA 92505-3059 |
| Adina Tanasescu | Nephrology | Nephrology Associates Medical Group Inc | 3660 Park Sierra Dr, Suite 208, Riverside, CA 92505-3059 |
| Salam G Ishak | Internal Medicine | Nephrology Associates Medical Group Inc | 3660 Park Sierra Dr, Suite 208, Riverside, CA 92505-3059 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilson Izquierdo | Family Practice | Bolivar Family Medical Clinic A Medical Corporation | 10327 Hole Ave, Riverside, CA 92505-1747 |
| Michele Martinez | Family Medicine | 10683 Magnolia Ave, Suite B, Riverside, CA 92505-1893 | |
| Michelle Taehee-evans Ng | Physical Medicine and Rehabilitation | West Coast Health and Rehab, PC | 11162 Palm Terrace Ln, Riverside, CA 92505-2338 |
| Ina J Creekbaum | Psychologist, Clinical | 3705 La Sierra Ave, Suite 206, Riverside, CA 92505-3038 | |
| Grace L Kim | Ophthalmology | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Caitlin T Chau | Family Medicine | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Robert L Rudek | General Surgery | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Richard M Bradburne | Internal Medicine | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Sungjin John | Family Medicine | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Shelly C Thio | Internal Medicine | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Find all physicians in zip 92505 | |||
| City | RIVERSIDE |
| Zip Code | 92505 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | RIVERSIDE + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Sam S Ahn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.