DR. PRUDENCIO GABRIEL SAMSON MD
NPI 1013045863
Psychiatry & Neurology - Psychiatry in Roseville, CA
About Dr. Prudencio Gabriel Samson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRUDENCIO GABRIEL SAMSON MD (NPI 1013045863) is an individual psychiatry provider in Roseville, California, licensed in California (C53191) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Dr. Prudencio Gabriel Samson 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.
Medicare Billing Reassignments
3Medicare enrollment records show Prudencio Samson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Folsom, CA 95630
- Reassigned Medicare billing, California enrollment
- 99 clinicians in this Medicare group
Sacramento, CA 95821
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of Sacramento
- 45 clinicians in this Medicare group
Colusa, CA 95932
- Reassigned Medicare billing, California enrollment
- 14 clinicians in this Medicare group
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 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
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 Prudencio Samson's NPI number?
The NPI number for Prudencio Samson is 1013045863. It was assigned to this individual provider in the NPPES registry on March 2, 2007. The provider is also known as Gary Samson.
Where is Prudencio Samson located?
Prudencio Samson practices at 720 Sunrise Ave Ste 202C, Roseville, CA 95661. The listed phone number is (530) 341-2521.
What is Prudencio Samson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Prudencio Samson enrolled in Medicare?
Yes. Prudencio Samson 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 organizations bill Medicare for Prudencio Samson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prudencio Samson reassigns Medicare benefits to 3 organizations: Hisham Soliman MD Inc (Folsom, CA), Human Resources Consultants, Inc (Sacramento, CA) and County Of Colusa (Colusa, CA). Each 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 Prudencio Samson'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 Prudencio Samson was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Prudencio Gabriel Samson, MD · NPI 1013045863
Psychiatry physician in Roseville, California. Individual provider, active in the CMS NPPES registry since March 2, 2007.
## Identity
- **NPI:** 1013045863 (Entity type: Individual)
- **Enumerated:** March 2, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** C53191 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 SUNRISE AVE STE 202C, Roseville, CA 95661-4509
- **Phone:** (530) 341-2521
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hisham Soliman MD Inc (NPI 1700199080, Folsom, CA); Human Resources Consultants, Inc (NPI 1891878674, Sacramento, CA); County Of Colusa (NPI 1902929052, Colusa, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** January 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1013045863) · Data from the CMS NPPES public registry.