Sam A Ebrahimi, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Tarzana, California. His current practice location is
18375 Ventura Blvd, Suite# 404, Tarzana, California. You can reach out to his office (for appointments etc.) via phone at
(818) 422-5322.
Sam A Ebrahimi is licensed to practice in California (license number A060777) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114916376.
Physician's Profile
| Full Name | Sam A Ebrahimi |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 18375 Ventura Blvd, Tarzana, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sam A Ebrahimi attended and graduated from in
NPI Data:
- NPI Number: 1114916376
- Provider Enumeration Date: 10/19/2005
- Last Update Date: 10/23/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Sam A Ebrahimi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114916376 | NPI | - | NPPES |
| 100336 | Other | | JHHC PRIORITY PARTNER |
| J449-0010 | Other | DC | CAREFIRST |
| 035556900 | Medicaid | DC | |
| 4129526 | Other | | MAMSI LIFE & HEALTH |
| 484AWA | Other | MD | CAREFIRST MARYLAND |
| P00435744 | Other | DC | RAILROAD MEDICARE |
| 404465702 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | MD33806 (District Of Columbia) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 0101233742 (Virginia) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | D0059318 (Maryland) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | A060777 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sam A Ebrahimi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sam A Ebrahimi, MD
18375 Ventura Blvd, Suite# 404,
Tarzana, CA 91356-4218
Ph: (301) 537-7751 | Sam A Ebrahimi, MD
18375 Ventura Blvd, Suite# 404,
Tarzana, CA 91356-4218
Ph: (818) 422-5322 |
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