Samantha Ann Mongar, DO
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Lake Isabella, CA
NPI 1235115015 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1235115015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 20A10029 (CA)
- Practice address
- 4300 Birch Street
Lake Isabella, CA 93240 - Phone
- (760) 379-1791
- Fax
- (760) 379-1793
- NPI assigned
- Dec 22, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kern Valley Healthcare District
Practice addresses (Care Compare)
PO Box
Lake Isabella, CA 93240
Hospital & facility affiliations
- Purpose Driven Home Health, LLC
- Kern Valley Healthcare District
- Ridgecrest Regional Hospital
- Adventist Health Bakersfield
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070827000602 | CA | Practitioner - Internal Medicine |
6507770401 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1314 | HI | MD | Psychologist |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kern Valley Healthcare District | Current |
Accepting new patients | |
| Kern Valley Healthcare District | Current |
Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Quantum Healthcare Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
| Ridgecrest Regional Hospital | Past | Accepting new patients | |
| Scotland County Memorial Hosptial | Past | Accepting new patients | |
| Intercare Medical Group, Inc. | Past | Accepting new patients |
Locations
6412 Laurel Ave
Mountain Mesa, CA 93240
Phone (760) 379-2681
4300 Birch St
Mountain Mesa, CA 93240
Phone (760) 379-1791
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/kernvh-26e64ef3
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 20A10029 | CA | Yes |
Addresses
Primary practice location
4300 Birch Street
Lake Isabella, CA 93240
Mailing address
PO Box 1628
Lake Isabella, CA 93240-1628
Phone (760) 379-1791
Other names
- Samantha Ann Mongar-Kram
Other providers in Lake Isabella, CA
- Heather Alldredge Menzel
- Julissa Meza
- Christopher Alan Mills
- Sharon Kay Minds
- Kelsey Marie Mixon
- Faith Lucille Morrison
- Debra Moseley
- Jack Sanford Nadler
- Nicholas Anthony Nardone
- Kayla Nevius
All providers in Lake Isabella, CA · Critical Care Medicine (Internal Medicine) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.