SAMANTHA NISHIMURA
NPI 1194527317
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Samantha Nishimura NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA NISHIMURA (NPI 1194527317) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Nishimura is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Nishimura's NPI number?
The NPI number for Samantha Nishimura is 1194527317. It was assigned to this individual provider in the NPPES registry on March 26, 2025.
Where is Samantha Nishimura located?
Samantha Nishimura practices at 1450 San Pablo St Ste 3600, Los Angeles, CA 90033. The listed phone number is (323) 865-1084.
What is Samantha Nishimura'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 Nishimura enrolled in Medicare?
Yes. Samantha Nishimura is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samantha Nishimura was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Samantha Nishimura · NPI 1194527317
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 26, 2025.
## Identity
- **NPI:** 1194527317 (Entity type: Individual)
- **Enumerated:** March 26, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 SAN PABLO ST STE 3600, Los Angeles, CA 90033-5332
- **Phone:** (323) 865-1084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 26, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1194527317) · Data from the CMS NPPES public registry.