Tracey Renata Samuels, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12744 Issued in CA

Practice address

2516 Sister Mary Columba Dr
Red Bluff, CA 96080-4327

Phone

(530) 722-1111

Fax

(530) 722-9999

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Docs Medical Group IncGroup PAC ID 9931112075, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracey.samuels.1@22091.direct.athenahealth.com

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.

• Docs Medical Group Inc

  • Gastroenterology Physician
  • Redding, CA
  • NPI 1063457620
  Medicare reassignment Care Compare group NPD
• Bakersfield Memorial Hospital

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• Houston Women'S Care Associates, P.a.

  • Specialist
  • Houston, TX
  • NPI 1730376021
  NPD (past)
• Sinuclear Oregon PC

  • Otolaryngology Physician
  • Salem, OR
  • NPI 1851152730
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1811004856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CYPRESS AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020162",
            "telephone_number": "530-722-1111",
            "fax_number": "530-722-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 SISTER MARY COLUMBA DR",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804327",
            "telephone_number": "530-722-1111",
            "fax_number": "530-722-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Cypress Ave",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960020162",
            "country_code": "US",
            "telephone_number": "530-722-1111",
            "fax_number": "530-722-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "TRACEY",
        "middle_name": "RENATA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "12744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachin Singh MD
• Janice Saelee
• Autumn Rose Salinas
• Beth Anne Salvato, RN
• David John Salvato, RN, MS
• Emma Sanchez
• Morgan Lee Sandhagen, PHYSICIAN ASSISTANT
• Gurshan Singh Sandhu, MD
• Gisela Vazquez Sandoval, M.A
• Sharon Saunders

• Physician Assistant in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.