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: July 19, 2026.

  • Individual
  • Female
  • Years of Experience 3
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SAMANTHA KAN

This page provides the complete NPI Profile along with additional information for Samantha Kan, a primary care provider established in Fremont, California with a medical specialization in Physician Assistant, focusing in medical and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1205656576 assigned on October 2024. The practitioner's primary taxonomy code is 363AM0700X with license number PA65161 (CA). The provider is registered as an individual and her NPI record was last updated February 2026.

NPI
1205656576 Verify this NPI
Provider Name
SAMANTHA KAN PA-C
Gender
Female
Entity Type
Individual
Location Address
3155 KEARNEY ST STE 100 FREMONT, CA 94538
Location Phone
(510) 931-4310
Mailing Address
3155 KEARNEY ST STE 100 FREMONT, CA 94538
Medical School Name
OTHER
Graduation Year
2024
Is Sole Proprietor?
Yes
Enumeration Date
10-11-2024
Last Update Date
02-20-2026
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A primary care provider (PCP) like Samantha Kan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA65161
License State
CA

Medicare Participation & PECOS Enrollment Status

Samantha Kan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Samantha Kan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 446770564

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250219003709

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for SAMANTHA KAN PA-C

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Primary Care)
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Internal Medicine (Cardiovascular Disease)
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Internal Medicine (Cardiovascular Disease)
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Internal Medicine (Cardiovascular Disease)
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Physician Assistant (Medical)
3155 KEARNEY ST STE 100
FREMONT, CA 94538
Physician Assistant
3155 KEARNEY ST STE 100
FREMONT, CA 94538

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205656576, enumerated as an "individual" on October 11, 2024.

The provider is located at 3155 KEARNEY ST STE 100 FREMONT, CA 94538 and the phone number is (510) 931-4310.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.