Individual provider Active NPI

Jill Beth Samovar, M.D.

  • Internal Medicine Physician
  • Mission Hills, CA
National Provider Identifier
1558462663
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61929 Issued in CA
Practice address
11600 Indian Hills Rd
Suite 101
Mission Hills, CA 91345-1225
Phone
(818) 838-4542
Fax
(818) 838-7520
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61929 CA Primary

Addresses

Primary practice location

11600 Indian Hills Rd
Suite 101
Mission Hills, CA 91345-1225

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other names 1

  • Jill Beth Goldstein Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000615 CA Practitioner - Internal Medicine 7113041906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11600 Indian Hills Rd
Mission Hills, CA 91345-1225
Phone (818) 838-4500

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Apr 1, 2001 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Apr 1, 2001 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Deanco Healthcare LLC. Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097

11600 Indian Hills Rd
Ste 101
Mission Hills, CA 91345
Phone (818) 838-4542

11600 Indian Hills Rd
#100103
Mission Hills, CA 91345

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jsamovar206524@westdirect.optum.com
  • Direct secure messaging: jillsamovar@hcpca.allscriptsdirect.net

Organizations & group practices 6

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1558462663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 INDIAN HILLS RD",
            "address_2": "SUITE 101",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451225",
            "telephone_number": "818-838-4542",
            "fax_number": "818-838-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOVAR",
        "first_name": "JILL",
        "middle_name": "BETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "GOLDSTEIN",
            "middle_name": "BETH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.