NPI Information

  • NPI: 1114916376
  • Provider Name: SAM A EBRAHIMI, MD
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18375 VENTURA BLVD
    SUITE# 404
    TARZANA, CA
    ZIP 91356
  • Phone: (818) 422-5322

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NPI Details

Sam A Ebrahimi, MD is a thoracic surgery cardiothoracic vascular surgery in Tarzana, CA with 30 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Sam A Ebrahimi, MD NPI is 1114916376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

18375 VENTURA BLVD
SUITE# 404
TARZANA, CA
ZIP 91356-218
Phone: (818) 422-5322

The NPI 1114916376 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Chemical destruction of first incompetent vein of arm or leg using imaging guidance (HCPCS:36482)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS:36465)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
  • Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose (HCPCS:J7321)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance (HCPCS:36466)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 10/19/2005 and was last updated on 10/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryMD33806DISTRICT OF COLUMBIANo
22086S0129XSurgeryVascular Surgery0101233742VIRGINIANo
32086S0129XSurgeryVascular SurgeryD0059318MARYLANDNo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)A060777CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100336OTHERJHHC PRIORITY PARTNER
2404465702MEDICAIDMARYLAND
34129526OTHERMAMSI LIFE & HEALTH
4H78581MEDICARE UPIN
5019631W58MEDICARE PINDISTRICT OF COLUMBIA
6J449-0010OTHERDISTRICT OF COLUMBIACAREFIRST
7035556900MEDICAIDDISTRICT OF COLUMBIA
8G02731C02MEDICARE PINDISTRICT OF COLUMBIA
9P00435744OTHERDISTRICT OF COLUMBIARAILROAD MEDICARE
10484AWAOTHERMARYLANDCAREFIRST MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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