Look up the most recent NPI and PECOS records

Samuel W Kaufman

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

825 Trinity Ln, Claremont, CA 91711-2957

PECOS Enrollment

Based on the most recent information from CMS, provider Samuel W Kaufman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1790811610
Provider Type
Individual
Full Name
Kaufman, Samuel W
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/26/2007
Last Updated
4/20/2021

Contact Information

Practice Location

825 Trinity Ln, Claremont, CA 91711-2957

(909) 946-2801

(909) 946-3247

Mailing Location

PO Box 996, Upland, CA 91785-0996

(909) 920-1049

(909) 946-3247

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A28426 California

Provider Identifiers

ID	Description	Issuer
ID 00A284260	Description Medicaid	Issuer Unlisted California

Samuel W Kaufman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Hope Psychiatric Medical Services,Inc.

Akber, Bushra Ali

Schmid Psychiatric Medical Corporation

Wang, Jessica

Hodde, Ildiko J

Omnicore Health Services, Inc

Vargas, Moises

Iqbal, Sulaiman

Horowitz, Donald

Inland Psychiatric Medical Group, Inc