Samuella Olayinka Scott, PA-C, MSHS, MPH

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

56872 Issued in CA

Practice address

333 1St St
San Francisco, CA 94105-2687

Phone

(888) 803-3370

Fax

(888) 803-3331

NPI assigned

Jan 31, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, CA2 enrollments

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 2

Specialty

Physician Assistant

Education

George Washington University School of Medicine, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Circle Medical Care of California

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1134596091
  Medicare reassignment NPD
• Doctors Community Medical Group LLC

  • Internal Medicine Physician
  • Lanham, MD
  • NPI 1033375878
  NPD (past)
• Matrix House Physicians PA

  • Internal Medicine Physician
  • Lanham, MD
  • NPI 1780631556
  NPD (past)

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1699013318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 57TH AVE",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207372819",
            "telephone_number": "301-704-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 1ST ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052687",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SAMUELLA",
        "middle_name": "OLAYINKA",
        "name_prefix": "Ms.",
        "credential": "PA-C, MSHS, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C04960",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "56872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portia Scott
• Raymond Scott
• Renata Scott
• Robert Scott, MD
• Samantha June Scott
• Shoshana Creech Scott, APRN
• Sonja Nicole Scott
• Theodore Carlyle Scott, MD
• Tiffany Marie Scott
• Bruce W. Scotton, M.D.

• Medical Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.