Samantha W Geweke, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15985 Issued in CA

Practice address

414 G St
Suite 204
Marysville, CA 95901-5663

Phone

(530) 743-0301

NPI assigned

Jul 28, 2006

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hodari MD Dermatology IncGroup PAC ID 0244575827, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Hodari MD Dermatology, Inc.

  dba Hodari MD Dermatology

  • Dermatology Physician
  • Yuba City, CA
  • NPI 1376025429
  Medicare reassignment Care Compare group
• Jenine L Tanabe MD a Professional Corporation

  • Specialist
  • Marysville, CA
  • NPI 1669501664
  Medicare reassignment

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992719322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 STEWART RD.",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-674-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 G ST",
            "address_2": "SUITE 204",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015663",
            "telephone_number": "530-743-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEWEKE",
        "first_name": "SAMANTHA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "15985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Lawrence Garcia Jr., DDS
• Jaime Garcia
• Amul Garg, M.D,
• Alexandra Victoria Rae Garrett
• Susan Garrett
• Rupaul Singh Ghuman, DDS
• Robert Gibbs, BA
• Brian Gilbert
• Amandeep Gill, M.D.
• Manvir Kaur Gill

• Medical Physician Assistant in Marysville, CA
• Providers in Marysville, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.