EDWARD SAMOURJIAN (M.D.) – Vascular Surgery Physician, NPI 1184885873

EDWARD SAMOURJIAN (M.D.) is a healthcare provider. based in Los angeles, California. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. A113601 (CA). The NPI Number for EDWARD SAMOURJIAN (M.D.) is 1184885873

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD SAMOURJIAN (M.D.)
NPI
1184885873
Phone
(213) 201-0850
Address
1660 W 3rd St
Enumeration Date
24 June 2008
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8182306522
Graduation Year
2008 (18 years ago)
PAC ID
8325270457
Group Practice PAC ID
0143696971
Professional Enrollment ID
I20150730012107
Address ID
CA912052866GL1030XAVEX414
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:17State licenses:2Digital endpointsOther names

675 VASCULAR SURGERY in CA

Provider Addresses for EDWARD SAMOURJIAN (M.D.)

  • 1660 W 3rd St

    Los Angeles, CA 900171138

    Phone: (213) 201-0850

    Fax: (213) 201-0853

    Type: Location

  • South Akers Street, Visalia, Tulare County, California, 93291, United States

    VISALIA, CA 932778306

    Phone: (559) 625-4118

    Fax: (559) 625-6004

    Type: Location

  • 2637, Shadelands Drive, Shadelands Business Park, Walnut Creek, Contra Costa County, California, 94598, United States

    WALNUT CREEK, CA 945982512

    Phone: (925) 948-8143

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $1,895.

Total Amount is formed as General ($1,895) + Research ($0) + Ownership ($0) = $1,895.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Medtronic, Inc. ($784).

Total Amount

$1,895

General + Research + Ownership

Payments

71

Total payment records

General Amount

$1,895

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150730012107IVascular SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes693368$0
93970Ultrasound study of arm or leg veins with compression and maneuvers303294$0
99204New patient office or other outpatient visit, 45-59 minutes301301$0
93925Ultrasound of leg arteries or artery grafts156137$0
93880Ultrasound of both sides of head and neck blood flow149146$0
View full utilization report →

Insurance plans in this area (ZIP 90017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143696971View full group profile
NameSpecialtyState
Physician AssistantCA

Reviews

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Frequently asked questions

Does EDWARD SAMOURJIAN (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EDWARD SAMOURJIAN (M.D.) uses 1184885873.
Can I rely on EDWARD SAMOURJIAN (M.D.) being an active provider?
As of the registry snapshot, EDWARD SAMOURJIAN (M.D.) is marked active.
What is EDWARD SAMOURJIAN (M.D.)'s primary classification?
Vascular Surgery Physician is the headline specialty for EDWARD SAMOURJIAN (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does EDWARD SAMOURJIAN (M.D.) serve?
EDWARD SAMOURJIAN (M.D.)'s listing highlights Los Angeles, California; more addresses can appear in NPPES.
Is the information about EDWARD SAMOURJIAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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