SAMANTHA PANE
NPI 1215476478
Marriage & Family Therapist in Azusa, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Pane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Covina, CA 91791
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AZUSA, CA 91702
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 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.
Where is Samantha Pane located?
Samantha Pane practices at 777 E Alosta Ave, Azusa, CA 91702. The listed phone number is (714) 798-1958.
What is Samantha Pane's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Samantha Pane enrolled in Medicare?
Yes. Samantha Pane 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.
Which organization bills Medicare for Samantha Pane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Pane reassigns Medicare benefits to Through The Sea Marriage And Family Counseling Inc (West Covina, 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 Pane'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 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.
# Samantha Pane · NPI 1215476478
Marriage & Family Therapist provider in Azusa, California. Individual provider, active in the CMS NPPES registry since February 21, 2017.
## Identity
- **NPI:** 1215476478 (Entity type: Individual)
- **Enumerated:** February 21, 2017
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 98295 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 777 E ALOSTA AVE, Azusa, CA 91702-3102
- **Phone:** (714) 798-1958
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Through The Sea Marriage And Family Counseling Inc (NPI 1093281990, West Covina, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1215476478) · Data from the CMS NPPES public registry.