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SAM CHANN NP
NPI 1043095078
Nurse Practitioner - Family in Torrance, CA

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
5001 PACIFIC COAST HWY, TORRANCE, CA 90505(877) 782-0300(424) 455-2274 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2025, Jun 11, 2024, Aug 28, 2023 (3 updates tracked since 2023).

About Sam Chann Np NPPES

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

SAM CHANN NP (NPI 1043095078) is an individual family provider in Torrance, California, licensed in California (95024816) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043095078
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAM CHANNCredential: NP
Location Address5001 PACIFIC COAST HWYTorrance, CA 90505-5441
Mailing AddressPo Box 40193Long Beach, CA 90804-6193 · (562) 726-2382
Phone(877) 782-0300
Fax(424) 455-2274
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 28, 2023
Last NPPES UpdateMay 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1043095078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95024816
5001 PACIFIC COAST HWY, Torrance, CA 90505
Open in Google Maps ↗

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

Sam Chann Np 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 ID5395195887
PECOS Enrollment IDI20231226000354
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 Reassignments

3

Medicare enrollment records show Sam Chann reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peninsula Urgent Care LLC
Same address
Urgent Care
5001 PACIFIC COAST HIGHWAY
Torrance, CA 90505
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1659947455 (310) 994-9903
Peninsula Primary Care
Same address
Primary Care
5003 PACIFIC COAST HWY
Torrance, CA 90505
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1417673328 (877) 782-0300
Southern California Permanente Medical Group
4.5 mi
Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1598797011 (310) 325-5111

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 90505 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 7

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

DR. BABAR SAEED MD
Internal Medicine
5001 PACIFIC COAST HWY
TORRANCE, CA 90505
Los Angeles County (877) 782-0300
MS. NADINE GABRIELA GELLER
Nurse Practitioner (Family)
5001 PACIFIC COAST HWY
TORRANCE, CA 90505
Los Angeles County (424) 455-2274
LUIS SANTIAGO JR
Nurse Practitioner (Family)
5001 PACIFIC COAST HWY
TORRANCE, CA 90505
Los Angeles County (424) 455-2273
SHEYANNE ADRIENNE ESPIRITU FNP-C
Nurse Practitioner (Family)
5001 PACIFIC COAST HWY
TORRANCE, CA 90505
Los Angeles County (877) 782-0300
TIFFANY LE PA-C
Physician Assistant (Medical)
5001 PACIFIC COAST HWY
TORRANCE, CA 90505
Los Angeles County (424) 455-2273
ROBIN KUCHARIK FNP
Nurse Practitioner (Family)
5001 PACIFIC COAST HWY
TORRANCE, CA 90505
Los Angeles County (424) 455-2274
ELIZABETH MARIA ELENA HERNANDEZ-BALL NP
Nurse Practitioner (Primary Care)
5001 PACIFIC COAST HWY
TORRANCE, CA 90505
Los Angeles County (310) 318-4127

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 Sam Chann's NPI number?

The NPI number for Sam Chann is 1043095078. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Sam Chann located?

Sam Chann practices at 5001 Pacific Coast Hwy, Torrance, CA 90505. The listed phone number is (877) 782-0300.

What is Sam Chann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sam Chann enrolled in Medicare?

Yes. Sam Chann 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 Sam Chann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Chann reassigns Medicare benefits to 3 organizations: Peninsula Urgent Care LLC (Torrance, CA), Peninsula Primary Care (Torrance, CA) and Southern California Permanente Medical Group (Harbor City, 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 Sam Chann'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 Sam Chann was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.