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VERMONT URGENT CARE & MULTI-SPECIALTY CENTER
NPI 1194090688
Specialist in Los Angeles, CA

Active since March 15, 2012CLIA 05D2109095 · Waiver
1435 S VERMONT AVE STE 100, LOS ANGELES, CA 90006(213) 386-2511 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vermont Urgent Care & Multi-specialty Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VERMONT URGENT CARE & MULTI-SPECIALTY CENTER (NPI 1194090688) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through February 17, 2028 and lists Pejman Samouha, Owner, as its authorized official.

NPPES Registry Identity

NPI1194090688
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePEJMAN SAMOUHA M.D. INC
Location Address1435 S VERMONT AVE STE 100Los Angeles, CA 90006-4543
Mailing Address1435 S Vermont Ave Ste 100Los Angeles, CA 90006-4543 · (213) 386-2511
Phone(213) 386-2511
Organization SubpartNo
Authorized OfficialPejman SamouhaOwner · (213) 386-2511
Enumeration DateMarch 15, 2012
✔ NPI 1194090688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1435 S VERMONT AVE STE 100, Los Angeles, CA 90006
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Other Names 1

Doing Business AsVermont Urgent Care & Multi-specialty Center

Other Identifiers 1

OtherA106358CA · Boar Lisence

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vermont Urgent Care & Multi-specialty Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vermont Urgent Care & Multi-Specialty Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pejman Samouha, M.D
General Practice
NPI 1437397205
1435 S VERMONT AVE STE 100
Los Angeles, CA 90006
(213) 386-2511
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2109095

Pejman Samouha, MD Inc · Los Angeles, CA
Active · expires Feb 17, 2028
CLIA Number05D2109095
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorPejman Samouha, MD
Laboratory Phone(213) 386-2511
Laboratory LocationPejman Samouha, MD Inc1435 S Vermont Ave Ste 100, Los Angeles, CA 90006
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pejman Samouha M.D. Inc's NPI number?

The NPI number for Pejman Samouha M.D. Inc is 1194090688. It was assigned to this organization in the NPPES registry on March 15, 2012. The provider is doing business as Vermont Urgent Care & Multi-Specialty Center.

Where is Pejman Samouha M.D. Inc located?

Pejman Samouha M.D. Inc is located at 1435 S Vermont Ave Ste 100, Los Angeles, CA 90006. The listed phone number is (213) 386-2511.

What is Pejman Samouha M.D. Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pejman Samouha M.D. Inc enrolled in Medicare?

Yes. Pejman Samouha M.D. Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pejman Samouha M.D. Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Pejman Samouha M.D. Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pejman Samouha M.D. Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2109095) is associated with this NPI, valid through February 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pejman Samouha M.D. Inc was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.