Individual provider Active NPI

Samantha K Estes, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1528424330
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53086 Issued in CA
Practice address
3405 Kenyon St Ste 305
San Diego, CA 92110-5007
Phone
(619) 849-5777
Fax
(619) 849-5776
NPI assigned
Jan 8, 2016
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53086 CA Primary

Addresses

Primary practice location

3405 Kenyon St Ste 305
San Diego, CA 92110-5007

Mailing address

3405 Kenyon St Ste 305
San Diego, CA 92110-5007
Phone (619) 849-5777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bvannord@relievepaincenter.com Direct

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
I20160708001769 CA Practitioner - Physician Assistant 0042502288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relieve Pain Center IncGroup PAC ID 4981943180, 4 clinicians

Practice addresses (Care Compare)

3405 Kenyon St
Suite 305
San Diego, CA 92110-5007
Phone (619) 849-5777

3969 4TH Ave
Suite 208
San Diego, CA 92103-3165
Phone (619) 849-5777

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
53.06
Promoting interoperability
88
Improvement activities
40
Cost
68.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bvannord@relievepaincenter.com
  • Direct secure messaging: samanthaestes@rpc.allscriptsdirect.net
  • Direct secure messaging: samanthaestes@rpcinc.allscriptsdirect.net
  • Direct secure messaging: sestes388247@scrippshlth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1528424330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 KENYON ST STE 305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105007",
            "telephone_number": "619-849-5777",
            "fax_number": "619-849-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 KENYON ST STE 305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105007",
            "telephone_number": "619-849-5777",
            "fax_number": "619-849-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "SAMANTHA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bvannord@relievepaincenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3405 Kenyon St Ste 305",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921105007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.