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SAMANTHA KAN PA-C
NPI 1205656576
Physician Assistant - Medical in Fremont, CA

Active since October 11, 2024PECOS EnrolledAccepts Medicare Assignment
3155 KEARNEY ST STE 100, FREMONT, CA 94538(510) 931-4310 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Kan Pa-c NPPES

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

SAMANTHA KAN PA-C (NPI 1205656576) is an individual medical provider in Fremont, California, licensed in California (PA65161) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205656576
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSAMANTHA KANCredential: PA-C
Location Address3155 KEARNEY ST STE 100Fremont, CA 94538-2268
Mailing Address3155 Kearney St Ste 100Fremont, CA 94538-2268
Phone(510) 931-4310
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 11, 2024
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1205656576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA65161
3155 KEARNEY ST STE 100, Fremont, CA 94538
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Kan Pa-c 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.

PECOS PAC ID446770564
PECOS Enrollment IDI20250219003709
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 7

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

WEST COAST VEINS AND VASCULAR INC
Internal Medicine (Cardiovascular Disease)
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Alameda County (510) 931-4310
MARICHELLE S. MASILANG-CUPINO
Nurse Practitioner (Primary Care)
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Alameda County (510) 870-0290
RAJESH SAM SURI MD
Internal Medicine (Cardiovascular Disease)
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Alameda County (510) 931-4310
WEST COAST MEDICINE AND CARDIOLOGY INC
Internal Medicine (Cardiovascular Disease)
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Alameda County (510) 931-4310
KRUPABEN CHODAVADIYA
Physician Assistant
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Alameda County (718) 920-9000
ELIAS QARU PA
Physician Assistant
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Alameda County (510) 931-4310
STEPHANNY LEDEZMA-GARCIA
Physician Assistant (Medical)
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Alameda County (510) 931-4310

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 Kan's NPI number?

The NPI number for Samantha Kan is 1205656576. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Where is Samantha Kan located?

Samantha Kan practices at 3155 Kearney St Ste 100, Fremont, CA 94538. The listed phone number is (510) 931-4310.

What is Samantha Kan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samantha Kan enrolled in Medicare?

Yes. Samantha Kan 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.

When was this NPI record last updated?

The NPPES record for Samantha Kan was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.