Jacquelyn Diane Sammons, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20A9246 Issued in CA

Practice address

6200 E Canyon Rim Rd Ste 105B
Anaheim, CA 92807-4313

Phone

(714) 900-3091

Fax

(714) 386-5147

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/GynecologyAlso: Osteopathic Manipulative Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Beach Pro Physical Medicine, Inc

  • Physical Medicine & Rehabilitation Physician
  • Huntington Beach, CA
  • NPI 1447861653
  Medicare reassignment Authorized official
• Transformation Health & Wellness

  • Gynecology Physician
  • Anaheim, CA
  • NPI 1003420381
  NPD
• M R S I Medical Resource Specialists, Inc.

  • Immunology Pathology Specialist/Technologist
  • Yorba Linda, CA
  • NPI 1851579593
  NPD (past)
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1982732236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 E CANYON RIM RD STE 105B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074313",
            "telephone_number": "714-900-3091",
            "fax_number": "714-386-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 E CANYON RIM RD STE 105B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074313",
            "telephone_number": "714-900-3091",
            "fax_number": "714-386-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "JACQUELYN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "9246",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "20A9246",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A9246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmata Samati
• Richard Gabriel Samedra, PMHNP-BC
• John Samimi, PHARM.D.
• Sam A. Samimi, M.D.
• Samir Azzam MD Inc
• Sheryl G Samperisi
• Kim Sampson
• Samuel B Yoo MD Inc
• Mary Kalimi Samuel
• Travy'on Edward Samuel

• Obstetrics & Gynecology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.