Individual provider Active NPI

Kayla Mika Sameshima

  • Physician Assistant
  • Long Beach, CA
National Provider Identifier
1538079249
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA68872 Issued in CA
Practice address
3816 Woodruff Ave Ste 209
Long Beach, CA 90808-2145
Phone
(562) 496-4749
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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 PA68872 CA Primary

Addresses

Primary practice location

3816 Woodruff Ave Ste 209
Long Beach, CA 90808-2145

Mailing address

3816 Woodruff Ave Ste 209
Long Beach, CA 90808-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1538079249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082145",
            "telephone_number": "562-496-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMESHIMA",
        "first_name": "KAYLA",
        "middle_name": "MIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA68872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.