SAMANTHA ELIZABETH RYDER
NPI 1003343245
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Samantha Ryder's NPI number?

The NPI number for Samantha Ryder is 1003343245. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Q: What is Samantha Ryder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Ryder was last updated on May 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2017PECOS Enrolled

1426 FILLMORE ST STE 204, SAN FRANCISCO, CA 94115(415) 963-4149 Get Directions Write a Review

NPPES record last updated: May 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samantha Elizabeth Ryder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ELIZABETH RYDER (NPI 1003343245) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003343245

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA ELIZABETH RYDER

Location Address1426 FILLMORE ST STE 204San Francisco, CA 94115-4164

Mailing Address1426 Fillmore St Ste 204San Francisco, CA 94115-4164

Phone(415) 963-4149

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 18, 2017

✔ NPI 1003343245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1426 FILLMORE ST STE 204, San Francisco, CA 94115

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Elizabeth Ryder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517449531

PECOS Enrollment IDI20260306003627

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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