NPIMap

Individual provider Active NPI

Samantha Mekhail Von Ins

  • General Practice Physician
  • Placentia, CA
National Provider Identifier
1942521174
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A117579 Issued in 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
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A117579 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140127000407 CA Practitioner - Family PracticePractitioner - General Practice 0345479143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A117579CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prosperite Health CurrentSince Jun 1, 2023 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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1942521174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E YORBA LINDA BLVD STE B",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702910",
            "telephone_number": "714-924-3404",
            "fax_number": "714-364-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E YORBA LINDA BLVD STE B",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702910",
            "telephone_number": "714-924-3404",
            "fax_number": "714-364-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON INS",
        "first_name": "SAMANTHA",
        "middle_name": "MEKHAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A117579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.