SAMANTHA RUNDLE
NPI 1073353108
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since May 28, 2024PECOS Enrolled
1201 ALHAMBRA BLVD STE 300, SACRAMENTO, CA 95816(916) 731-7866 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Rundle NPPES

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

SAMANTHA RUNDLE (NPI 1073353108) is an individual student in an organized health care education/training program in Sacramento, California, licensed in California (20A24559) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073353108
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA RUNDLE
Location Address1201 ALHAMBRA BLVD STE 300Sacramento, CA 95816-5241
Mailing Address1201 Alhambra Blvd Ste 300Sacramento, CA 95816-5241 · (916) 731-7866
Sole ProprietorNo
Enumeration DateMay 28, 2024
Last NPPES UpdateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
NPI 1073353108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · 20A24559
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1201 ALHAMBRA BLVD STE 300, Sacramento, CA 95816

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 Rundle 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.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA 95816
Nurse Practitioner (Family)
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA 95816
Psychologist (Clinical)
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA 95816
Family Medicine
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA 95816
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA 95816
Nurse Practitioner (Family)
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA 95816
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA 95816
Family Medicine
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA 95816

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 Rundle's NPI number?

The NPI number for Samantha Rundle is 1073353108. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Samantha Rundle located?

Samantha Rundle practices at 1201 Alhambra Blvd Ste 300, Sacramento, CA 95816. The listed phone number is (916) 731-7866.

What is Samantha Rundle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Rundle enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Rundle was last updated on March 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.