Individual provider Active NPI

Samuel Samalin, PA-C

  • Physician Assistant
  • Downey, CA
National Provider Identifier
1255433082
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18434 Issued in CA
Practice address
7765 Leeds St
Downey, CA 90242-3489
Phone
(844) 804-1933
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011123 NY
Physician Assistant 363A00000X PA18434 CA Primary

Addresses

Primary practice location

7765 Leeds St
Downey, CA 90242-3489

Mailing address

600 W 9TH St Apt 510
Los Angeles, CA 90015-4314
Phone (213) 308-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061204000568 CA Practitioner - Physician Assistant 3870592744 Reassigns benefits to 4 organizations
I20080811000528 NY Practitioner - Physician Assistant 3870592744 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011123NYMDRegistered Dietitian
PA18434CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation CurrentSince Oct 26, 2017 Accepting new patients
RJZM LLC CurrentSince Sep 14, 2021 Accepting new patients
Psychplus Medical Associates of California PC Physician Assistant CurrentSince Sep 24, 2025 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Oct 26, 2017 Accepting new patients
Psychplus Associates of California PC CurrentSince Sep 24, 2025 Accepting new patients
Cep America - California CurrentSince Oct 1, 2006 Accepting new patients
Hospitalmd of Troy Ip, Inc. Past Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Hospitalmd of Troy, Inc. Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Locations

3095 Telegraph Ave
Berkeley, CA 94705
Phone (510) 495-0772

2677 Zoe Ave
Ste 120
Huntington Pk, CA 90255
Phone (323) 589-1902

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

69780 Stellar Dr
#A
Rancho Mirage, CA 92270
Phone (760) 424-3380

1610 R St
Ste 300
Sacramento, CA 95811
Phone (678) 974-2162

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

4377 Bronx Blvd
Bronx, NY 10466
Phone (718) 325-0700

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Interoperability endpoints

  • Direct secure messaging: ssamalin687351@hisp.ehr.sutterhealth.org
  • Direct secure messaging: samuel.samalin.1@24989.direct.athenahealth.com
  • Direct secure messaging: samuel.samalin.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1255433082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 9TH ST APT 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154314",
            "telephone_number": "213-308-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 LEEDS ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423489",
            "telephone_number": "844-804-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMALIN",
        "first_name": "SAMUEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011123",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.