Active NPI
Rachel Tagum Samson, MSN, FNP-C
- Family Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95016295
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95016295 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Heart Nursing Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates of California, PC | Current | Accepting new patients | |
| Apreva Corporation | Current | 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.
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
-
- Nursing Facility/Intermediate Care Facility
- National City, CA
- NPI 1700547007
-
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1306004957
-
- Podiatrist
- San Dimas, CA
- NPI 1629358411
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.