SIERRA MADRE COMMUNITY MEDICAL GROUP, INC - NPI 1902951825 - Internal Medicine in Sierra Madre, CA

Q: What is Sierra Madre Community Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Sierra Madre Community Medical Group, Inc NPPES

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

SIERRA MADRE COMMUNITY MEDICAL GROUP, INC (NPI 1902951825) is a healthcare organization registered as an internal medicine in Sierra Madre, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Hani Sami, President/ Physician, as its authorized official.

NPPES Registry Identity

NPI1902951825

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSIERRA MADRE COMMUNITY MEDICAL GROUP, INC

Location Address147 W SIERRA MADRE BLVDSierra Madre, CA 91024-2492

Mailing Address147 W Sierra Madre BlvdSierra Madre, CA 91024-2492 · (626) 355-3443 · Fax (626) 355-7843

Phone(626) 355-3443

Fax(626) 355-7843

Organization SubpartNo

Authorized OfficialHani SamiPresident/ Physician · (626) 921-1808

Enumeration DateJanuary 23, 2007

Last NPPES UpdateFebruary 17, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2022

✔ NPI 1902951825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

147 W SIERRA MADRE BLVD, Sierra Madre, CA 91024

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Other Identifiers 2

MedicaidGR0087460CA

OtherZZZ606482CA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D0978847

Sierra Madre Community Medical Grp Inc · Sierra Madre, CA

Active · expires Oct 3, 2026

CLIA Number05D0978847

Laboratory TypePhysician Office

Certificate Effective DateOctober 4, 2024

Certificate Expiration DateOctober 3, 2026

Laboratory DirectorHani Sami MD

Laboratory Phone(262) 355-3443

Laboratory LocationSierra Madre Community Medical Grp Inc147 West Sierra Madre Boulevard, Sierra Madre, CA 91024

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

DR. JOSSALYN T EMSLIE M.D.

Family Medicine