Physician Compare National (NPI:1063460616)

HEALTHCARE PROVIDER: SAM SANANDAJI DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1063460616
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840299780
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20061204000309
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANANDAJI
	Individual professional last name
Provider First Name	SAM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	16237 VENTURA BLVD
	Group Practice or individual's line 1 address
City	ENCINO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	914362201
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050625
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CEDARS-SINAI MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y