JOSHUA JOHN SAMUEL M.D. NPI 1902149263

NPI Information

NPI: 1902149263
Provider Name: JOSHUA JOHN SAMUEL, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: SUTTER BAY MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
2850 TELEGRAPH AVE STE 120
BERKELEY, CA
ZIP 94705
Phone: (510) 504-1844
Get Directions

Joshua John Samuel, M.D. is a pulmonary disease internal medicine in Berkeley, CA with 11 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Joshua John Samuel, M.D. NPI is 1902149263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2850 TELEGRAPH AVE STE 120
BERKELEY, CA
ZIP 94705-159
Phone: (510) 504-1844
Fax: (510) 273-8911

The NPI 1902149263 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 enumeration date for this NPI number is 4/4/2013 and was last updated on 12/21/2021.

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
1	207RC0200X	Internal Medicine	Critical Care Medicine	1096951	CALIFORNIA	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	1096951	CALIFORNIA	Yes

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
1	A162932	OTHER	CALIFORNIA	STATE MEDICAL LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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