DR. FARZIN SAMSAMI M.D.
NPI 1104067628
Family Medicine in Glendale, CA
About Dr. Farzin Samsami M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FARZIN SAMSAMI M.D. (NPI 1104067628) is an individual family medicine provider in Glendale, California, licensed in California (A105428) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
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. Farzin Samsami M.d. 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 Farzin Samsami reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90039
- Reassigned Medicare billing, California enrollment
- 13,921 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 91202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Farzin Samsami's NPI number?
The NPI number for Farzin Samsami is 1104067628. It was assigned to this individual provider in the NPPES registry on March 12, 2009.
Where is Farzin Samsami located?
Farzin Samsami practices at 634 Palm Dr Appt # 203, Glendale, CA 91202. The listed phone number is (818) 502-0769.
What is Farzin Samsami's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Farzin Samsami enrolled in Medicare?
Yes. Farzin Samsami 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 Farzin Samsami's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Farzin Samsami reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Farzin Samsami'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 Farzin Samsami was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Farzin Samsami, M.D. · NPI 1104067628
Family Medicine physician in Glendale, California. Individual provider, active in the CMS NPPES registry since March 12, 2009.
## Identity
- **NPI:** 1104067628 (Entity type: Individual)
- **Enumerated:** March 12, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A105428 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 634 PALM DR, APPT # 203, Glendale, CA 91202-3319
- **Phone:** (818) 502-0769
## 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:** Southern California Permanente Medical Group (NPI 1346328853, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** December 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104067628) · Data from the CMS NPPES public registry.