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

Sam A Ebrahimi, MD

Individual provider Vascular Surgery Physician · NPI 1114916376

Sam A Ebrahimi, MD is a Vascular Surgery in Tarzana, California. Graduated from University of California, Geffen School of Medicine in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California, District of Columbia, Maryland and Virginia.

Years since qualifying
30
Trained at
University of California, Geffen School of Medicine
Licensed in
CA, DC, MD, VA
In the registry since
2005
Specialties on file
4
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

18375 Ventura Blvd Suite# 404
Tarzana, CA 91356-4218
Phone: (818) 422-5322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence A060777 (CA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence MD33806 (DC)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 0101233742 (VA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence D0059318 (MD)

Record details

NPI number1114916376
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 19, 2005
Last updated in NPPESOctober 23, 2016
Mailing address18375 Ventura Blvd, Suite# 404, Tarzana, CA 91356-4218

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesTHORACIC SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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