Individual provider Active NPI

Natalie Samuelian, PA-C

  • Physician Assistant
  • Northridge, CA
National Provider Identifier
1871250845
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9018 Balboa Blvd # 134
Northridge, CA 91325-2610
Phone
(310) 683-0180
NPI assigned
Nov 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9018 Balboa Blvd # 134
Northridge, CA 91325-2610

Mailing address

9018 Balboa Blvd # 134
Northridge, CA 91325-2610
Phone (310) 683-0180

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
I20220310002014 CA Practitioner - Physician Assistant 8628463510 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60756CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Marketing Worldwide Inc. CurrentSince Feb 1, 2026 Accepting new patients
Mobile Care Medical Group, Inc CurrentSince Feb 4, 2026 Accepting new patients
Sinu-Clear Inc CurrentSince Jan 19, 2026 Accepting new patients
Mobile Care Medical Group, Inc CurrentSince Feb 4, 2026 Accepting new patients

Locations

1200 E Route 66
Ste 102
Glendora, CA 91740
Phone (213) 567-4520

5015 Eagle Rock Blvd
Ste 200
Los Angeles, CA 90041
Phone (323) 455-4868

9620 Fremont Ave
Montclair, CA 91763
Phone (909) 227-0750

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

3850 Smith St
Unit 3
Union City, CA 94587
Phone (213) 261-4978

Organizations & group practices 8

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": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1871250845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 BALBOA BLVD # 134",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252610",
            "telephone_number": "310-683-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9018 BALBOA BLVD # 134",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252610",
            "telephone_number": "310-683-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELIAN",
        "first_name": "NATALIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.