HIM Records Executive Summary • Direct Answer Overview
Verified for Legal & Retrieval Compliance
Records Custodian
SAMY OPTICAL LLC
in FAIRFIELD, CA
National Provider ID (NPI)
1194203877
Healthcare Facility
Statutory TAT Window
15 Calendar Days
Cal. Health & Safety Code § 123110
Submission Routing
HIPAA Fax & Certified Mail
1-Click Dispatch Available
Healthcare FacilityVerified Directory Listing • September 2026NPI 1194203877HIPAA Compliant Request RoutingCA Copy Fee & Turnaround Guide →
Official Records Department

Medical Records Request & Contact for SAMY OPTICAL LLC

Facility details, verified records department channels, and expected turnaround times for SAMY OPTICAL LLC in FAIRFIELD, CA.

Acute Health Directory provides verified contact channels and legal delivery guidance to request medical records from SAMY OPTICAL LLC in FAIRFIELD, CA. Registered in the National Plan and Provider Enumeration System (NPPES) under NPI 1194203877. Authorized patients, law firms, insurance adjusters, and medical retrieval specialists can submit requests directly or utilize our 1-click expedited dispatch.

Records Department Delivery Channels & Contact

Direct Custodian Dispatch

Want Acute to retrieve records from SAMY OPTICAL LLC for you?

Our team handles the authorization dispatch, daily custodian follow-up, and statutory 30-day HIPAA turnaround enforcement for a flat $15. No phone tag, hold times, or subscription required.

Medical Records Fax
(Verified Fax on File)
Verified on File
Medical Records Phone Number
(707) 421-••••
Medical Records Intake
Mailing & Subpoena Address
1350 TRAVIS BLVD UNIT 1507A, FAIRFIELD, CA, 94533-3440
Postal Service
Method to Send the Request for Records
Accepts FAX Submission & 1-Click Expedited Dispatch
Direct HIM Routing
Contact details are partially masked for verification & privacy

Sign in or choose an option to view complete unmasked fax numbers, medical records department emails, and direct lines.

Expected Turnaround TimeCA Statutory Limit →
15 Calendar Days

Strict 15 calendar day turnaround. No search or handling fees.

Legally Protected Timeline
Statutory Legal Tool

CA Medical Records Fee & Turnaround Estimator

Authority: California Health & Safety Code § 123110

Under CA law, healthcare providers and copy services may charge requestors statutory preparation fees. Estimate your costs below:

Estimated Chart Size:50 Pages
5 pgs100 pgs200 pgs300 pgs
Standard Provider Copy Fee:$0.00
Acute Direct Retrieval Rate:$15.00 Flat

*First 10 requests free for new law firms and insurance carriers. We handle direct HIM follow-up, HIPAA compliance, and tracking.

Available Records Types

  • Complete Medical Chart — Physician notes, history, physicals, and progress reports.
  • Billing & Invoices — Itemized billing, UB-04, and CMS-1500 insurance claim forms.
  • Diagnostic Radiology — MRI, CT, X-Ray reports and DICOM imaging files on CD/digital.
  • Pathology & Labs — Bloodwork, surgical specimens, and toxicological analysis.

Required Authorization Form

  • HIPAA Compliant Release — Must be signed and dated by the patient within the past 12 months.
  • Patient Identification — Full legal name, date of birth, and Social Security / MRN.
  • Legal Representative Proof — Letters of Administration, Power of Attorney, or retainer (if third party).
  • Specific Date Scope — Must specify treatment dates and records categories requested.
Request Workflow Protocol

How to Submit a Request to SAMY OPTICAL LLC

Follow this standard protocol to prevent request rejections and ensure prompt fulfillment.

Important: Acute Health Directory provides verified contact information and automated request transmission. SAMY OPTICAL LLC produces and releases records directly to the authorized requester in accordance with HIPAA regulations.

Standard Fulfillment Steps

  1. Select Request Method: Choose whether you want verified contact details to submit yourself or have Acute Directory dispatch on your behalf.
  2. Confirm Facility Match: Verify SAMY OPTICAL LLC in in FAIRFIELD, CA matches the provider where treatment occurred.
  3. Attach Authorization Form: Upload a valid HIPAA release or subpoena duces tecum signed by the patient or authorized representative.
  4. Transmission to HIM Department: The request is routed via verified fax or certified postal mail directly to the records custodian.
  5. Official Processing: The facility reviews the release and furnishes records within the expected turnaround window (15 Calendar Days).
  6. Direct Delivery: The facility delivers records directly to your designated mailing address, email, or secure portal.

Frequently Asked Questions

How do I request medical records from SAMY OPTICAL LLC?

Submit a signed, HIPAA-compliant authorization form to their Health Information Management (HIM) department via verified fax, certified mail, or electronic request. Acute Health Directory allows you to dispatch requests directly with tracked delivery.

What is the medical records phone number for SAMY OPTICAL LLC?

The verified medical records phone number for SAMY OPTICAL LLC is (707) 421-••••. Authorized requestors can call this direct line for custodian intake, fee confirmations, or status follow-ups.

What is the method to send the request for records to SAMY OPTICAL LLC?

The primary method to send the request for records to SAMY OPTICAL LLC is via verified HIPAA medical records fax (verified on file), certified postal mail to 1350 TRAVIS BLVD UNIT 1507A, FAIRFIELD, CA, 94533-3440, or 1-click automated delivery through Acute Health Directory.

What is the medical records fax number for SAMY OPTICAL LLC?

Requests to SAMY OPTICAL LLC can be served via postal mail to their registered address at 1350 TRAVIS BLVD UNIT 1507A, FAIRFIELD, CA, 94533-3440 or dispatched via Acute Health Directory.

What is the expected turnaround time for medical records from SAMY OPTICAL LLC in CA?

Under Cal. Health & Safety Code § 123110, the expected turnaround time is 15 Calendar Days. Strict 15 calendar day turnaround. No search or handling fees.

What are the statutory medical records copy fees in CA?

Under Cal. Health & Safety Code § 123110, medical records copy fees are regulated. Paper records: $0.25/pg for paper copies or $0.50/pg from microfilm. Digital records: Free patient electronic access or direct actual labor cost. Explore the full 50-State Statutory Fee Guide for state-by-state statutory breakdowns and cost-limit provisions.