| Kian J Samimi, MD | |
|
711 4th Ave, Suite 200, San Diego, CA 92101-6970 | |
| (619) 232-3040 | |
| (619) 232-3041 |
| Full Name | Kian J Samimi |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 28 Years |
| Location | 711 4th Ave, San Diego, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649213281 | NPI | - | NPPES |
| 390534 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 25504 (Arizona) | Secondary |
| 208200000X | Plastic Surgery | A050365 (California) | Primary |
| Entity Name | Revivamed Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609061498 PECOS PAC ID: 2062684947 Enrollment ID: O20111019000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Kian J Samimi, MD 711 4th Ave, Suite 200, San Diego, CA 92101-6970 Ph: (619) 232-3040 | Kian J Samimi, MD 711 4th Ave, Suite 200, San Diego, CA 92101-6970 Ph: (619) 232-3040 |
Vivian Jiayin Hu, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr # Mc8890, San Diego, CA 92103 Phone: 619-543-5887 | |
Jose De Jesus Rodriguez, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3023 Bunker Hill St Ste 204, San Diego, CA 92109 Phone: 858-483-0690 | |
Dr. Jose E. Otero, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6367 Alvarado Ct, #104, San Diego, CA 92120 Phone: 619-229-1211 Fax: 619-229-1141 | |
Dr. Jennifer Dolmajian, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Cagri Cakmakoglu, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12264 El Camino Real Ste 101, San Diego, CA 92130 Phone: 858-847-0800 | |
Dr. David Michael Kupfer, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5395 Ruffin Rd Ste 201, San Diego, CA 92123 Phone: 858-245-9804 Fax: 858-560-1974 | |
Dr. James J Chao, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Mail Code 8890, San Diego, CA 92103 Phone: 619-543-2696 |