Individual provider Active NPI

Rachel Tagum Samson, MSN, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1669060992
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016295 Issued in CA
Practice address
1565 Hotel Cir S Ste 320
San Diego, CA 92108-3425
Phone
(619) 450-4414
NPI assigned
Jan 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016295 CA Primary

Addresses

Primary practice location

1565 Hotel Cir S Ste 320
San Diego, CA 92108-3425

Mailing address

1330 E 8TH St
National City, CA 91950-2634
Phone (619) 208-5568

Other names 1

  • Rachel Lagrimas Tagum 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102000665 CA Practitioner - Nurse Practitioner 3173939501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016295CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Heart Nursing Inc. CurrentSince Jan 17, 2022 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Dec 14, 2025 Accepting new patients
Apreva Corporation CurrentSince Mar 1, 2022 Accepting new patients
Michael K Fairbanks DPM a Professional Corporation Past Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

1565 Hotel Cir S
Ste 320
San Diego, CA 92108
Phone (619) 450-4414

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1669060992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E 8TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502634",
            "telephone_number": "619-208-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 HOTEL CIR S STE 320",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083425",
            "telephone_number": "619-450-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "RACHEL",
        "middle_name": "TAGUM",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-03",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "TAGUM",
            "middle_name": "LAGRIMAS",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.