Samantha Ann Varghese, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53137 Issued in CA

Practice address

321 W Hobsonway Ste C
Blythe, CA 92225-1651

Phone

(760) 922-4981

NPI assigned

Mar 12, 2015

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.varghese.p1@direct.cdsdp.nextgenshare.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.

• Clinicas de Salud del Pueblo, Inc

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
  • NPI 1346313889
  Medicare reassignment
• Clinicas de Salud del Pueblo Inc.

  • Community/Retail Pharmacy
  • El Centro, CA
  • NPI 1962045872
  NPD
• Clinicas de Salud del Pueblo, Inc

  • Federally Qualified Health Center (FQHC)
  • Indio, CA
  • NPI 1093138430
  NPD

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1912390147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W HOBSONWAY STE C",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251651",
            "telephone_number": "760-922-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W HOBSONWAY STE C",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251651",
            "telephone_number": "760-922-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shuemi Tong, MD
• Khai Gia Tran, MD
• Universal Link Professional Staffing
• Tania P Uribe
• V & E Management and Consulting
• Eddie Vega
• Marvin Paul Vernon, LCSW
• Patrick Vessey
• Veterans Alcohol Rehabilitation Program, Inc.- Varp, Inc.
• Veterans Alcohol Rehabilitation Program, Inc.-Varp, Inc.

• Physician Assistant in Blythe, CA
• Providers in Blythe, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.

Verify at the official NPI Registry.