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

Samuel Simon David Kianmahd, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376122390

Samuel Simon David Kianmahd, MD is a Family Practice in Downey, California. Qualified in 2019, 7 years ago. Practices as a sole proprietor.

Years since qualifying
7
In the registry since
2021
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

11500 Brookshire Ave Gme Ofc Downey
Downey, CA 90241-4917
Phone: (562) 904-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376122390
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2021
Last updated in NPPESApril 6, 2021
Certification dateApril 6, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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