SAMANTHA PANE
NPI 1215476478
Marriage & Family Therapist in Azusa, CA

Q: What is Samantha Pane's NPI number?

The NPI number for Samantha Pane is 1215476478. It was assigned to this individual provider in the NPPES registry on February 21, 2017.

Q: What is Samantha Pane's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Pane was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 21, 2017PECOS EnrolledAccepts Medicare Assignment

777 E ALOSTA AVE, AZUSA, CA 91702(714) 798-1958 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2021, Feb 21, 2017 (2 updates tracked since 2017).

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About Samantha Pane NPPES

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

SAMANTHA PANE (NPI 1215476478) is an individual marriage & family therapist in Azusa, California, licensed in California (98295) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1215476478

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSAMANTHA PANE

Location Address777 E ALOSTA AVEAzusa, CA 91702-3102

Mailing Address2155 E Garvey Ave N Ste B17West Covina, CA 91791-1545 · (626) 489-9144

Phone(714) 798-1958

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateFebruary 21, 2017

Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration

NPPES CertifiedMarch 12, 2021

✔ NPI 1215476478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 98295

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

777 E ALOSTA AVE, Azusa, CA 91702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Pane 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 ID4789023508

PECOS Enrollment IDI20240507002574

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 6

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

PAOLA MONTOYA WATSON

Marriage & Family Therapist