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DR. SAMANTHA JOY NIEVES AU.D., CCC-A
NPI 1225402662
Audiologist in Orange, CA

Active since November 23, 2015
1301 W PROVIDENCE AVE, ORANGE, CA 92868(855) 901-7742(714) 221-0977 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2021, Nov 23, 2015 (2 updates tracked since 2015).

About Dr. Samantha Joy Nieves Au.d., Ccc-a NPPES

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

DR. SAMANTHA JOY NIEVES AU.D., CCC-A (NPI 1225402662) is an individual audiologist in Orange, California, licensed in California (3095) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1225402662
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameDR. SAMANTHA JOY NIEVESCredential: AU.D., CCC-A
Location Address1301 W PROVIDENCE AVEOrange, CA 92868-3808
Mailing Address1301 W Providence AveOrange, CA 92868-3808 · (855) 901-7742 · Fax (714) 221-0977
Phone(855) 901-7742
Fax(714) 221-0977
Sole ProprietorNo
Enumeration DateNovember 23, 2015
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
✔ NPI 1225402662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in CA · 3095
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1301 W PROVIDENCE AVE, Orange, CA 92868
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Joy Nieves Au.d., Ccc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Samantha Nieves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
5.7 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

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 20

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

MRS. AYREN ELLEN DREYER SLP
Speech-Language Pathologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
JANELLE BRIANA CUBAS B.A.
Speech-Language Pathologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
PATRICIA MARIE ROSSI T-SLP
Speech-Language Pathologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 923-1527
YOMNA ELSIDDIG
Speech-Language Pathologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
TRACY MORILLO CCC-SLP
Speech-Language Pathologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
DARCY HEALEY OT
Occupational Therapist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
NISREEN ALKHAYER
Audiologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
MCCALL LOPICCOLO SLPA
Specialist/Technologist (Speech-Language Assistant)
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (855) 901-7742

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 Nieves's NPI number?

The NPI number for Samantha Nieves is 1225402662. It was assigned to this individual provider in the NPPES registry on November 23, 2015.

Where is Samantha Nieves located?

Samantha Nieves practices at 1301 W Providence Ave, Orange, CA 92868. The listed phone number is (855) 901-7742.

What is Samantha Nieves's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Samantha Nieves enrolled in Medicare?

Yes. Samantha Nieves is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Nieves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Nieves reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Nieves'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 Nieves was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.