SAMUEL AGRA M.D.
NPI 1598719791
Specialist in Los Angeles, CA

Active since May 20, 2006
1711 W TEMPLE ST, 5606, LOS ANGELES, CA 90026(213) 989-6107(213) 483-5032 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Samuel Agra M.d. NPPES

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

SAMUEL AGRA M.D. (NPI 1598719791) is an individual specialist in Los Angeles, California, licensed in California (A54058) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1598719791
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSAMUEL AGRACredential: M.D.
Location Address1711 W TEMPLE ST, 5606Los Angeles, CA 90026-5421
Mailing Address3938 Sunbeam DrLos Angeles, CA 90065-3551
Fax(213) 483-5032
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateNovember 6, 2012
NPI 1598719791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A54058
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.
1711 W TEMPLE ST, Los Angeles, CA 90026

Other Identifiers 3

Medicaid00A540581CA
Medicare ID-Type UnspecifiedWA54058ACA
Medicare UPING42563CA

Other Providers at the Same Location NPPES 20

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

Registered Nurse (Medical-Surgical)
1711 W TEMPLE ST
LOS ANGELES, CA 90026
Registered Nurse
1711 W TEMPLE ST
LOS ANGELES, CA 90026
General Practice
1711 W TEMPLE ST, SUITE # 3600
LOS ANGELES, CA 90026
Registered Nurse
1711 W TEMPLE ST
LOS ANGELES, CA 90026
Family Medicine
1711 W TEMPLE ST, SUITE 3661
LOS ANGELES, CA 90026
Speech-Language Pathologist
1711 W TEMPLE ST
LOS ANGELES, CA 90026
Licensed Vocational Nurse
1711 W TEMPLE ST
LOS ANGELES, CA 90026
Licensed Vocational Nurse
1711 W TEMPLE ST
LOS ANGELES, CA 90026

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 Samuel Agra's NPI number?

The NPI number for Samuel Agra is 1598719791. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Samuel Agra located?

Samuel Agra practices at 1711 W Temple St 5606, Los Angeles, CA 90026. The listed phone number is (213) 989-6107.

What is Samuel Agra's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Agra was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.