Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sameer Dhiru Mistry, MD

Individual provider Emergency Medicine Physician · NPI 1861424152

Dr. Sameer Dhiru Mistry, MD is an Emergency Medicine in San Pedro, California. Graduated from University of California, Geffen School of Medicine in 1992, 34 years ago. Practices with Southern California Emergency Medical Group, a 25-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
34
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 W 7th St
San Pedro, CA 90732-3505
Phone: (310) 514-5350
Fax: (310) 514-5421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence G77518 (CA)

Record details

NPI number1861424152
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESJune 25, 2008
Mailing addressPo Box 661360, Arcadia, CA 91066-1360

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Southern California Emergency Medical Group — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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