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SAMARITANA MEDICAL CLINIC, INC.-WASHINGTON
NPI 1649855008
Clinic/Center - Primary Care in Los Angeles, CA

Active since March 16, 2021CLIA 05D2159635 · Waiver
122 E WASHINGTON BLVD, LOS ANGELES, CA 90015(213) 483-3600(213) 483-4555 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2021, Mar 16, 2021 (2 updates tracked since 2021).

About Samaritana Medical Clinic, Inc.-washington NPPES

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

SAMARITANA MEDICAL CLINIC, INC.-WASHINGTON (NPI 1649855008) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists William Martinez, President, as its authorized official.

NPPES Registry Identity

NPI1649855008
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSAMARITANA MEDICAL CLINIC, INC.-WASHINGTON
Location Address122 E WASHINGTON BLVDLos Angeles, CA 90015-3601
Mailing Address122 E Washington BlvdLos Angeles, CA 90015-3601 · (213) 483-3600 · Fax (213) 483-4555
Phone(213) 483-3600
Fax(213) 483-4555
Organization SubpartNo
Authorized OfficialWilliam MartinezPresident · (213) 500-5475
Enumeration DateMarch 16, 2021
Last NPPES UpdateApril 26, 20212 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1649855008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
122 E WASHINGTON BLVD, Los Angeles, CA 90015
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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 05D2159635

Samaritana Medical Clinic Washington · Los Angeles, CA
Active · expires Dec 19, 2026
CLIA Number05D2159635
Laboratory TypeHealth Main. Organization
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorAdel Abdelsayed
Laboratory Phone(213) 749-6500
Laboratory LocationSamaritana Medical Clinic Washington122 E Washington Blvd, Los Angeles, CA 90015
CLIA data matches this NPI record on: Address Name
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.

MAHFOUZ M. MICHAEL,M.D.,INC.
Internal Medicine
122 E WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 741-0400
AYAD IBRAHIM KHILLA FNP-C
Nurse Practitioner (Family)
122 E WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 749-6500
HEATHER MASON RD, CDCES
Dietitian, Registered
122 E WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 483-3600
MRS. LUZ ROSARIO CADENAS TORREY
Counselor (Addiction (Substance Use Disorder))
122 E WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 741-0400

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 Samaritana Medical Clinic, Inc.-Washington's NPI number?

The NPI number for Samaritana Medical Clinic, Inc.-Washington is 1649855008. It was assigned to this organization in the NPPES registry on March 16, 2021.

Where is Samaritana Medical Clinic, Inc.-Washington located?

Samaritana Medical Clinic, Inc.-Washington is located at 122 E Washington Blvd, Los Angeles, CA 90015. The listed phone number is (213) 483-3600.

What is Samaritana Medical Clinic, Inc.-Washington's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Samaritana Medical Clinic, Inc.-Washington hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2159635) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Samaritana Medical Clinic, Inc.-Washington accept?

Health plans from BlueCross BlueShield of Tennessee list Samaritana Medical Clinic, Inc.-Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samaritana Medical Clinic, Inc.-Washington was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.