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SAMANTHA MOHAMMAD MD
NPI 1003494469
Family Medicine in Venice, CA

Active since March 29, 2021PECOS Enrolled
905 VENICE BLVD, VENICE, CA 90291(310) 392-8636(310) 943-3521 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Aug 19, 2024, Mar 29, 2021 (3 updates tracked since 2021).

About Samantha Mohammad Md NPPES

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

SAMANTHA MOHAMMAD MD (NPI 1003494469) is an individual family medicine provider in Venice, California, licensed in California (A196328) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1003494469
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMANTHA MOHAMMADCredential: MD
Location Address905 VENICE BLVDVenice, CA 90291-4904
Mailing Address905 Venice BlvdVenice, CA 90291-4904 · (310) 392-8636 · Fax (310) 943-3521
Phone(310) 392-8636
Fax(310) 943-3521
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1003494469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A196328
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
905 VENICE BLVD, Venice, CA 90291
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Secondary Practice Location 1

Location 1450 E Spring St Ste 1Long Beach, CA 90806-1625 · Phone (562) 933-0050 · Fax (562) 933-0079

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 Mohammad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90291 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
905 VENICE BLVD
VENICE, CA 90291
Los Angeles County (310) 392-8638
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
905 VENICE BLVD
VENICE, CA 90291
Los Angeles County (310) 392-8630
FANTA MICHELLE BAYOH MSN, APRN, FNP-C
Nurse Practitioner (Family)
905 VENICE BLVD
VENICE, CA 90291
Los Angeles County (310) 392-8636
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
905 VENICE BLVD
VENICE, CA 90291
Los Angeles County (310) 392-8630

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 Mohammad's NPI number?

The NPI number for Samantha Mohammad is 1003494469. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Samantha Mohammad located?

Samantha Mohammad practices at 905 Venice Blvd, Venice, CA 90291. The listed phone number is (310) 392-8636.

What is Samantha Mohammad's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Mohammad enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Mohammad was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.