Individual provider Active NPI

Emmanuel Samoy, NP

  • Family Medicine Physician
  • Cathedral City, CA
National Provider Identifier
1063239838
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95024850 Issued in CA
Practice address
613 Via Firenze
Cathedral City, CA 92234-4184
Phone
(949) 397-7526
NPI assigned
Sep 24, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95024850 CA Primary

Addresses

Primary practice location

613 Via Firenze
Cathedral City, CA 92234-4184

Mailing address

613 Via Firenze
Cathedral City, CA 92234-4184
Phone (949) 397-7526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113001128 CA Practitioner - Nurse Practitioner 3375071806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Specialists Medical Group IncGroup PAC ID 9830164359, 12 clinicians
Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

1140 N Indian Canyon Dr
Suite 120
Palm Springs, CA 92262-4872
Phone (951) 352-3937

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. Family Medicine CurrentSince Dec 12, 2024 Accepting new patients
Cardiology Specialists Medical Group, Inc. CurrentSince Jan 2, 2026 Accepting new patients

Locations

830 Magnolia Ave
Ste 101
Corona, CA 92879

1140 N Indian Canyon Dr
#120
Palm Springs, CA 92262
Phone (760) 323-6346

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

3770 Elizabeth St
Riverside, CA 92506
Phone (951) 237-7331

Interoperability endpoints

  • Direct secure messaging: emmanuel.samoy.p2@direct.mydohc.nextgenshare.com
  • Direct secure messaging: samoy.emmanuel.1@17575.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1063239838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 VIA FIRENZE",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922344184",
            "telephone_number": "949-397-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 VIA FIRENZE",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922344184",
            "telephone_number": "949-397-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOY",
        "first_name": "EMMANUEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95024850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

Verify at the official NPI Registry.