Safaee, Sam
Safaee, Sam is an individual health care provider with primary practice located at 201 S Miller St Ste 103 , Santa Maria CA 93454-5248. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Safaee, Sam can be contacted via phone (805) 314-2175.Contact Information
Primary practice address
201 S Miller St Ste 103
Santa Maria CA 93454-5248
Phone: (805) 314-2175
Fax: (805) 314-2219
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA21412 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA21412 | California |
Profile Details
NPI number | 1609172030 |
---|---|
LBN Legal business name | Safaee, Sam |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2011 |
Last updated | May 22nd, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609172030 | NPPES |
California | Other | 12317742 | CAQH PROVIDER NUMBER |
California | Other | PA21412 | CAQH PROVIDER NUMBER |
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