Samantha Mekhail Von Ins
Individual provider Active NPI General Practice Physician · Placentia, CA
NPI 1942521174 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1942521174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- A117579 (CA)
- Practice address
- 300 E Yorba Linda Blvd Ste B
Placentia, CA 92870-2910 - Phone
- (714) 924-3404
- Fax
- (714) 364-1091
- NPI assigned
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of California, Irvine, California College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 E Yorba Linda Blvd
Suite B
Placentia, CA 92870-2910
Phone (714) 924-3404
Hospital & facility affiliations
- Abbot Homehealth Inc
- Apex Home Health Care Services
- Carewell Home Health, Inc
- Focus Home Health Inc
- Apex Hospice Care, Inc
- Foothill Regional Medical Center
- Chapman Global Medical Center
- Buena Vista Care Center
- Anaheim Point
- Plaza Healthcare Center
- French Park Care Center
- Bayshire Yorba Linda Post-Acute
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140127000407 | CA | Practitioner - Family Practice |
0345479143 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117579 | CA | MD | General Practice Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosperite Health | Current |
Accepting new patients | |
| Chapman Medical Center Inc | Past | Accepting new patients |
Locations
1400 N Kraemer Blvd
Unit 96
Placentia, CA 92871
300 E Yorba Linda Blvd
Placentia, CA 92870
Phone (714) 524-0207
300 E Yorba Linda Blvd
Ste B
Placentia, CA 92870
Phone (714) 749-4222
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A117579 | CA | Yes |
Addresses
Primary practice location
300 E Yorba Linda Blvd Ste B
Placentia, CA 92870-2910
Mailing address
300 E Yorba Linda Blvd Ste B
Placentia, CA 92870-2910
Phone (714) 924-3404
Other providers in Placentia, CA
- Melissa Vizcarra
- Hanhngoc Nhu Vo
- Thach Nhu Vo
- Vy Vivian Vo
- Lindsay Joan Volker
- Elli Vu
- Walgreen Co
- Walgreen Co
- Morgan Wang
- Rachel Wang
All providers in Placentia, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.