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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Ryder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
36 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BEN YOKOYAMA
Marriage & Family Therapist
1426 FILLMORE ST STE 204
SAN FRANCISCO, CA 94115
San Francisco County (415) 595-4461
ELIZABETH IAN
Case Manager/Care Coordinator
1426 FILLMORE ST STE 204
SAN FRANCISCO, CA 94115
San Francisco County (415) 963-4149
EMILY LIM
Case Manager/Care Coordinator
1426 FILLMORE ST STE 204
SAN FRANCISCO, CA 94115
San Francisco County (415) 963-4149
JUSTIN ADAM FELICIANO
Counselor
1426 FILLMORE ST STE 204
SAN FRANCISCO, CA 94115
San Francisco County (415) 561-0831
MS. RAKIAH LASHAE KENNEDY BA PSYCHOLOGY
Counselor
1426 FILLMORE ST STE 204
SAN FRANCISCO, CA 94115
San Francisco County (415) 563-8017
ANDREA GAY CHRISTENSEN MA
Marriage & Family Therapist
1426 FILLMORE ST STE 204
SAN FRANCISCO, CA 94115
San Francisco County (415) 963-4149

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Samantha Ryder located?

Samantha Ryder practices at 1426 Fillmore St Ste 204, San Francisco, CA 94115. The listed phone number is (415) 963-4149.

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.

Is Samantha Ryder enrolled in Medicare?

Yes. Samantha Ryder is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Ryder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ryder reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Ryder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.