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SAM GHALILI MD INC
NPI 1720453574
General Practice in Los Angeles, CA

Active since December 04, 2015
2101 S SAN PEDRO ST, LOS ANGELES, CA 90011(213) 845-8766(213) 745-8704 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2016, Dec 4, 2015 (2 updates tracked since 2015).

About Sam Ghalili Md Inc NPPES

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

SAM GHALILI MD INC (NPI 1720453574) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since December 2015. The organization lists Sam Ghalili, Owner, as its authorized official.

NPPES Registry Identity

NPI1720453574
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSAM GHALILI MD INC
Location Address2101 S SAN PEDRO STLos Angeles, CA 90011-1125
Mailing Address2101 S San Pedro StLos Angeles, CA 90011-1125 · (213) 845-8766 · Fax (213) 745-8704
Phone(213) 845-8766
Fax(213) 745-8704
Organization SubpartNo
Authorized OfficialSam GhaliliOwner · (213) 749-7110
Enumeration DateDecember 4, 2015
Last NPPES UpdateSeptember 21, 20162 updates tracked since enumeration
✔ NPI 1720453574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
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 ListedPediatricsTaxonomy 208000000X · License A88734 (CA)
2101 S SAN PEDRO ST, Los Angeles, CA 90011
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA88734CA
MedicaidA088734CA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sam Ghalili Md Inc 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 Sam Ghalili MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Saman Ghalili, M.D.
Emergency Medicine
NPI 1891724993
2101 S SAN PEDRO ST
Los Angeles, CA 90011
(213) 745-8766
✔ 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.

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 Sam Ghalili MD Inc's NPI number?

The NPI number for Sam Ghalili MD Inc is 1720453574. It was assigned to this organization in the NPPES registry on December 4, 2015.

Where is Sam Ghalili MD Inc located?

Sam Ghalili MD Inc is located at 2101 S San Pedro St, Los Angeles, CA 90011. The listed phone number is (213) 845-8766.

What is Sam Ghalili MD Inc's specialty?

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

Is Sam Ghalili MD Inc enrolled in Medicare?

Yes. Sam Ghalili MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sam Ghalili MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Sam Ghalili MD 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.

When was this NPI record last updated?

The NPPES record for Sam Ghalili MD Inc was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.