MD REVOLUTION – NPI #1922371228
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

MD REVOLUTION is a provider located in LA JOLLA, CA. NPPES has assigned the NPI number 1922371228 to MD REVOLUTION on February 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MD REVOLUTION” is a dba name, the actual legal business name for this organization is SAMIR B. DAMANI MD INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 13 years ago on Jun 17, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MD REVOLUTION below.

NPI Profile for
SAMIR B. DAMANI MD INC

NPI Number
1922371228
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAMIR B. DAMANI MD INC
Doing Business As (dba): MD REVOLUTION
Primary location
9850 GENESEE AVE
SUITE 730
LA JOLLA, CA 92037
Phone: (858) 847-5064 Fax: (858) 433-4099
Mailing address
Same as primary location
Organization Subpart
Yes - MD REVOLUTION is subpart of another organization.
Authorized Official
SAMIR DAMANI
PHYSICIAN
Phone: (858) 847-5064
Updated
Identifiers

Identifiers for MD REVOLUTION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A889890
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
207SG0201X
- Medical Genetics / Clinical Genetics (M.D.)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.