SAMANTHA MAKPAIBOONVATANA
NPI 1043703564
Optometrist in San Bernardino, CA
About Samantha Makpaiboonvatana NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA MAKPAIBOONVATANA (NPI 1043703564) is an individual optometrist in San Bernardino, California, licensed in California (33980TLG) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 Makpaiboonvatana 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 Reassignment
Medicare enrollment records show Samantha Makpaiboonvatana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 8 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 92404 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.
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 Makpaiboonvatana's NPI number?
The NPI number for Samantha Makpaiboonvatana is 1043703564. It was assigned to this individual provider in the NPPES registry on June 9, 2018.
Where is Samantha Makpaiboonvatana located?
Samantha Makpaiboonvatana practices at 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404. The listed phone number is (909) 882-8883.
What is Samantha Makpaiboonvatana's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Samantha Makpaiboonvatana enrolled in Medicare?
Yes. Samantha Makpaiboonvatana 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 Makpaiboonvatana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Makpaiboonvatana reassigns Medicare benefits to Gintien Huang MD Inc (San Bernardino, 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 Makpaiboonvatana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Makpaiboonvatana accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Samantha Makpaiboonvatana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samantha Makpaiboonvatana was last updated on July 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Samantha Makpaiboonvatana · NPI 1043703564
Optometrist provider in San Bernardino, California. Individual provider, active in the CMS NPPES registry since June 9, 2018.
## Identity
- **NPI:** 1043703564 (Entity type: Individual)
- **Enumerated:** June 9, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 33980TLG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1909 N WATERMAN AVE STE 3, San Bernardino, CA 92404
- **Phone:** (909) 882-8883
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Gintien Huang MD Inc (NPI 1609437599, San Bernardino, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry, class of 2018
## Record status
- **NPPES last updated:** July 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043703564) · Data from the CMS NPPES public registry.