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SAMANTHA MOHAMMAD MD
NPI 1003494469
Family Medicine in Venice, CA

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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, maintains a secondary practice location in Long Beach, and is a graduate of University Of California, Geffen School Of Medicine (2021).

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
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2021
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
Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Mohammad Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224417811
PECOS Enrollment IDI20240924000806
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 Mohammad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorialcare Medical Foundation
35 mi
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622

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

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samantha Mohammad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Mohammad reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, 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 Mohammad'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 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 21 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.