Individual provider Active NPI

Samantha Stein, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1275124547
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
62922 Issued in CA
Practice address
1 Daniel Burnham CT Ste 350C
San Francisco, CA 94109-0464
Phone
(415) 771-6300
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 62922 CA Primary
Physician Assistant 363A00000X PA9121911 FL
Physician Assistant 363A00000X 50.006874 OH

Addresses

Primary practice location

1 Daniel Burnham CT Ste 350C
San Francisco, CA 94109-0464

Mailing address

5045 Shimerville Rd
Clarence, NY 14031-1425
Phone (716) 908-8389

Other practice location 1

8926 77th Ter E Unit 101
Lakewood Ranch, FL 34202-6417
Phone (941) 907-0222

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
I20231023002396 CA Practitioner - Physician Assistant 7113335761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berman Skin Institute Medical Group IncGroup PAC ID 0042407215, 26 clinicians

Practice addresses (Care Compare)

1 Daniel Burnham CT
Suite 350C
San Francisco, CA 94109-0464
Phone (415) 771-6300

4300 El Camino Real
Suite 100
Los Altos, CA 94022-1090
Phone (650) 325-6000

5575 W Las Positas Blvd
Suite 220
Pleasanton, CA 94588-5802
Phone (925) 416-1122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.006874OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1275124547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 SHIMERVILLE RD",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311425",
            "telephone_number": "716-908-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 350C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941090464",
            "telephone_number": "415-771-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8926 77th Ter E Unit 101",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342026417",
            "country_code": "US",
            "telephone_number": "941-907-0222",
            "fax_number": "941-907-0493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62922",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121911",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.