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SAMAN GHALILI MD INC
NPI 1366735813
General Practice in Los Angeles, CA

Active since May 17, 2011CLIA 05D1063080 · Waiver
2101 S SAN PEDRO ST, LOS ANGELES, CA 90011(213) 745-8766 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Saman Ghalili Md Inc NPPES

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

SAMAN GHALILI MD INC (NPI 1366735813) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Saman Ghalili, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366735813
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSAMAN GHALILI MD INC
Location Address2101 S SAN PEDRO STLos Angeles, CA 90011-1125
Mailing Address2101 S San Pedro StLos Angeles, CA 90011-1125 · (213) 745-8766
Phone(213) 745-8766
Organization SubpartNo
Authorized OfficialSaman GhaliliCeo · (213) 749-7110
Enumeration DateMay 17, 2011
Last NPPES UpdateOctober 30, 2013
✔ NPI 1366735813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A88734
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency MedicineTaxonomy 207P00000X · License A88734 (CA)
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License A88734 (CA)
2101 S SAN PEDRO ST, Los Angeles, CA 90011
Open in Google Maps ↗

Other Identifiers 2

Medicare PINA88734CA
Medicaid00A887340CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D1063080

Saman Ghalili MD · Los Angeles, CA
Active · expires Jan 3, 2027
CLIA Number05D1063080
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorSaman Ghalili
Laboratory Phone(213) 745-8766
Laboratory LocationSaman Ghalili MD2101 San Pedro Street, Los Angeles, CA 90011
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAZIAR MARK GHALILI D.O.
Internal Medicine
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (702) 671-2341
LAURA P. LAMAS-GUZMAN PA-C
Physician Assistant
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (213) 745-8766
SAM GHALILI MD INC
General Practice
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (213) 845-8766
SAMAN GHALILI M.D.
General Practice
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (213) 745-8766

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 Saman Ghalili MD Inc's NPI number?

The NPI number for Saman Ghalili MD Inc is 1366735813. It was assigned to this organization in the NPPES registry on May 17, 2011.

Where is Saman Ghalili MD Inc located?

Saman Ghalili MD Inc is located at 2101 S San Pedro St, Los Angeles, CA 90011. The listed phone number is (213) 745-8766.

What is Saman Ghalili MD Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Saman Ghalili MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1063080) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saman Ghalili MD Inc was last updated on October 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.