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DR. SHIDEH SAMIMI
NPI 1689729006
Pediatrics in Los Angeles, CA

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, LOS ANGELES, CA 90033(323) 226-2170(323) 226-5760 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shideh Samimi NPPES

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

DR. SHIDEH SAMIMI (NPI 1689729006) is an individual pediatrics provider in Los Angeles, California, licensed in California (A79984) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1689729006
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SHIDEH SAMIMI
Location Address1200 N STATE STLos Angeles, CA 90033-1029
Mailing Address1200 N State StLos Angeles, CA 90033-1029 · (323) 226-2170 · Fax (323) 226-5760
Phone(323) 226-2170
Fax(323) 226-5760
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689729006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A79984
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1200 N STATE ST, Los Angeles, CA 90033
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Other Identifiers 4

Medicare ID-Type UnspecifiedW809FCA · El Monte
Medicare ID-Type UnspecifiedW932CA · Health Center
Medicare ID-Type UnspecifiedW809ACA · Roybal
Medicare ID-Type UnspecifiedW809BCA · Hudson

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shideh Samimi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991776221
PECOS Enrollment IDI20040802001048
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. LUCILLE CHAILLE
Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 226-2170
DR. THIENDANG VIET NGUYEN M.D.
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7748
DR. PHIL ORALLO CASTILLO M.D.
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Los Angeles County (323) 226-4597
NOA CARTER STERLING M.D.
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8847
CHRYSTAL LYNNE JONES RCP
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-1000
MAY SUNDONGMEI WU RESP THERAPIST
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-1824
BRETT BARRO
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (213) 705-5282
ALBERT CHEN MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7686

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 Shideh Samimi's NPI number?

The NPI number for Shideh Samimi is 1689729006. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Shideh Samimi located?

Shideh Samimi practices at 1200 N State St, Los Angeles, CA 90033. The listed phone number is (323) 226-2170.

What is Shideh Samimi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shideh Samimi enrolled in Medicare?

Yes. Shideh Samimi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shideh Samimi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.