Individual provider Active NPI

Rebecca Samet, M.D

  • Emergency Medicine Physician
  • Pismo Beach, CA
National Provider Identifier
1477509503
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A76110 Issued in CA
Practice address
2160 Shoreline Dr
Pismo Beach, CA 93449-1823
Phone
(805) 709-1457
NPI assigned
May 26, 2006
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD156459 OR
Emergency Medicine Physician 207P00000X A76110 CA Primary

Addresses

Primary practice location

2160 Shoreline Dr
Pismo Beach, CA 93449-1823

Mailing address

2160 Shoreline Dr
Pismo Beach, CA 93449-1823
Phone (805) 709-1457

Other practice location 1

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-6175

Other practice location 2

1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

Other identifiers 2

IdentifierTypeStateIssuer
00A761100MedicaidCA
500649073MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsamet269025@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050926001252 CA Practitioner - Emergency Medicine 8729012943 Reassigns benefits to 10 organizations
I20150623000844 OR Practitioner - Emergency Medicine 8729012943 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76110CAMDEmergency Medicine Physician
MD156459ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Dec 31, 2018 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
Mid-Columbia Medical Center CurrentSince Jan 16, 2023 Accepting new patients
Permanente Medical Group Inc Emergency Medicine Current Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince May 1, 2025 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Coquille Valley Hospital District CurrentSince Oct 14, 2024 Accepting new patients
Alvarado Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Erx Plus Professional Corporation Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Western Healthcare Services Texas Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Mid-Columbia Medical Center CurrentSince Jan 16, 2023 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Mar 12, 2014 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince May 1, 2025 Accepting new patients
Healthcare for the Mid-Columbia Region Emergency Medicine Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Jul 11, 2012 Accepting new patients
Sherman Oaks Emergency Medical Associates Emergency Medicine CurrentSince Jan 22, 2018 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine Current Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Mar 12, 2014 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Dec 31, 2018 Accepting new patients
Erx Hospitalist Group PC CurrentSince Mar 1, 2023 Accepting new patients
Coquille Valley Hospital District CurrentSince Oct 14, 2024 Accepting new patients
San Francisco Physicians International Medical Group, Inc Emergency Medicine CurrentSince Aug 15, 2014 Accepting new patients
Permanente Medical Group Inc Emergency Medicine CurrentSince Jul 11, 2012 Accepting new patients
Providence Health & Services - Oregon Emergency Medicine Current Accepting new patients
Erx Plus Professional Corporation Emergency Medicine Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
H. Allen Hooper, M.D. a Professional Corporation Emergency Medicine Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

2000 N Classen Blvd
Ste 1200
Oklahoma City, OK 73106
Phone (866) 488-4558

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 274-6221

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1810 E 19th St
Ste 211
The Dalles, OR 97058
Phone (503) 292-1400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/
  • Direct secure messaging: rsamet177260@direct.phs.org
  • Direct secure messaging: rsamet269025@samhealth.direct-ci.com

Organizations & group practices 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1477509503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 SHORELINE DR",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934491823",
            "telephone_number": "805-709-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SHORELINE DR",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934491823",
            "telephone_number": "805-709-1457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2865 Daggett Ave",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011106",
            "country_code": "US",
            "telephone_number": "541-274-6175",
            "fax_number": "541-274-6739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1046 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMET",
        "first_name": "REBECCA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD156459",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A76110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A761100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500649073",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsamet269025@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

Verify at the official NPI Registry.