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DR. SAMANTHA STEPHANIE JIMENEZ MD
NPI 1154858850
Pediatrics - Pediatric Endocrinology in Sacramento, CA

Active since May 12, 2017PECOS Enrolled
3814 AUBURN BLVD STE 72, SACRAMENTO, CA 95821(916) 426-1902 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2025, Jun 24, 2021, May 12, 2017 (3 updates tracked since 2017).

About Dr. Samantha Stephanie Jimenez Md NPPES

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

DR. SAMANTHA STEPHANIE JIMENEZ MD (NPI 1154858850) is an individual pediatric endocrinology provider in Sacramento, California, licensed in California (A173020) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1154858850
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameDR. SAMANTHA STEPHANIE JIMENEZCredential: MD
Location Address3814 AUBURN BLVD STE 72Sacramento, CA 95821-2123
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Phone(916) 426-1902
Sole ProprietorNo
Enumeration DateMay 12, 2017
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1154858850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in CA · A173020
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
3814 AUBURN BLVD STE 72, Sacramento, CA 95821
Open in Google Maps ↗

Secondary Practice Location 1

Location 12516 Stockton Blvd Ste 384Sacramento, CA 95817-2208 · Phone (916) 734-7098

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Stephanie Jimenez Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Medical Foundation
3.3 mi
Diagnostic Radiology
2800 L ST FL 7
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Sutter Valley Medical Foundation
  • 3,056 clinicians in this Medicare group
NPI 1942524095 (916) 731-7857

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 95821 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 6

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

ERIN BEWLEY MD
Pediatrics
3814 AUBURN BLVD STE 72
SACRAMENTO, CA 95821
Sacramento County (916) 426-1902
SHELBY TARA CHEN
Pediatrics (Pediatric Endocrinology)
3814 AUBURN BLVD STE 72
SACRAMENTO, CA 95821
Sacramento County (916) 426-1902
KEVIN HENSON CPNP-PC
Nurse Practitioner (Pediatrics)
3814 AUBURN BLVD STE 72
SACRAMENTO, CA 95821
Sacramento County (916) 426-1902
OLGA VICTOROVNA YEFREMENKOVA FNP-BC, PMHNP-BC
Nurse Practitioner (Family)
3814 AUBURN BLVD STE 72
SACRAMENTO, CA 95821
Sacramento County (916) 426-1902
MR. JOSEPH FRANCIS KARPEL II PA-C, MPH
Physician Assistant
3814 AUBURN BLVD STE 72
SACRAMENTO, CA 95821
Sacramento County (916) 426-1902
MRS. CARLY JANE-HUSTREI HAALAND PA-C
Physician Assistant
3814 AUBURN BLVD STE 72
SACRAMENTO, CA 95821
Sacramento County (916) 426-1902

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 Jimenez's NPI number?

The NPI number for Samantha Jimenez is 1154858850. It was assigned to this individual provider in the NPPES registry on May 12, 2017.

Where is Samantha Jimenez located?

Samantha Jimenez practices at 3814 Auburn Blvd Ste 72, Sacramento, CA 95821. The listed phone number is (916) 426-1902.

What is Samantha Jimenez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Samantha Jimenez enrolled in Medicare?

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

Which organization bills Medicare for Samantha Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Jimenez reassigns Medicare benefits to Sutter Medical Foundation (Sacramento, 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 Jimenez'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 Samantha Jimenez was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.