Samuel Medrano, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G68235 Issued in CA

Practice address

199 E Webster St
Colusa, CA 95932-2954

Phone

(530) 458-3283

NPI assigned

May 1, 2006

Last updated

May 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chavez Emergency Physicians Medical Group IncGroup PAC ID 3870897580, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Plumas District Hospital Hospital, Quincy, CA, CCN 051326

Merit-based Incentive Payment System (MIPS)

Final score

96.5 of 100Reported as group

Quality

84.58

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Chavez Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Quincy, CA
  • NPI 1689045015
  Medicare reassignment Care Compare group NPD
• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• Memorial Emergency Physicians Medical Group, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Indio, CA
  • NPI 1275821308
  NPD (past)
• North Sonoma County Health Care District

  dba Healdsburg District Hospital

  • Skilled Nursing Facility
  • Healdsburg, CA
  • NPI 1952487159
  NPD (past)

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

• Plumas District Hospital

  • Critical Access Hospital
  • Quincy, CA
  • NPI 1326094269
  Care Compare affiliation

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1316905334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 N CALIFORNIA BLVD",
            "address_2": "SUITE 400",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963742",
            "telephone_number": "925-225-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 E WEBSTER ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322954",
            "telephone_number": "530-458-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G68235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G682350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivan Martinez Gonzalez, LCSW
• Rocio Martinez
• Jennifer Lynn McAllister, MFT
• Delia McDonald
• Mark Westley McGregor
• Alicia Mena, RDH
• Alice Adele Davis Meyer, MPSS
• Deborah Miller, MD
• Edward Miller
• Charles Thomas Mills, PHARMD

• Emergency Medicine Physician in Colusa, CA
• Providers in Colusa, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.