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SAMANTHA STOUGH RD, CSG
NPI 1245941095
Dietitian, Registered - Nutrition, Gerontological in Yuba City, CA

Active since December 12, 2022
481 PLUMAS BLVD STE 202, YUBA CITY, CA 95991(530) 749-2409(530) 751-4973 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2023, Dec 12, 2022 (2 updates tracked since 2022).

About Samantha Stough Rd, Csg NPPES

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

SAMANTHA STOUGH RD, CSG (NPI 1245941095) is an individual nutrition, gerontological provider in Yuba City, California, licensed in California (86014476) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1245941095
Entity TypeIndividualFemale
Primary Taxonomy133VN1101X
Provider Legal NameSAMANTHA STOUGHCredential: RD, CSG
Location Address481 PLUMAS BLVD STE 202Yuba City, CA 95991-5075
Mailing Address481 Plumas Blvd Ste 202Yuba City, CA 95991-5075 · (530) 749-2409 · Fax (530) 751-4973
Phone(530) 749-2409
Fax(530) 751-4973
Sole ProprietorNo
Enumeration DateDecember 12, 2022
Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1245941095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, GerontologicalDietary & Nutritional Service Providers
Taxonomy Code133VN1101X
License✔ Licensed in CA · 86014476
Definition
An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with gerontological nutrition through roles in management, industry, education, and research.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 86014476 (AZ)
481 PLUMAS BLVD STE 202, Yuba City, CA 95991
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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)

Samantha Stough Rd, Csg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Adventist Health Physicians Network
Same address
Interventional Cardiology
481 PLUMAS BLVD STE 104
Yuba City, CA 95991
  • Reassigned Medicare billing, California enrollment
  • 678 clinicians in this Medicare group
NPI 1255839254 (530) 844-5636

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 7

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

TEJVEER S DHILLON M.D.
Surgery
481 PLUMAS BLVD STE 202
YUBA CITY, CA 95991
Sutter County (530) 749-2409
KIMBERLEY NOELLE DAVIS LCSW
Social Worker
481 PLUMAS BLVD STE 202
YUBA CITY, CA 95991
Sutter County (530) 749-2409
MR. MITCHELL ANDREW GOETTMAN DO
Surgery
481 PLUMAS BLVD STE 202
YUBA CITY, CA 95991
Sutter County (530) 749-2409
ADVENTIST HEALTH PHYSICIANS NETWORK
Surgery
481 PLUMAS BLVD STE 202
YUBA CITY, CA 95991
Sutter County (530) 749-2409
LEMA SAFI PA-C
Physician Assistant (Surgical)
481 PLUMAS BLVD STE 202
YUBA CITY, CA 95991
Sutter County (530) 749-2409
STACY LYNN BRACKBILL RD
Dietitian, Registered
481 PLUMAS BLVD STE 202
YUBA CITY, CA 95991
Sutter County (530) 749-2409
ARTURO GARCIA MD
Surgery
481 PLUMAS BLVD STE 202
YUBA CITY, CA 95991
Sutter County (530) 749-2409

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 Stough's NPI number?

The NPI number for Samantha Stough is 1245941095. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Where is Samantha Stough located?

Samantha Stough practices at 481 Plumas Blvd Ste 202, Yuba City, CA 95991. The listed phone number is (530) 749-2409.

What is Samantha Stough's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Gerontological, with taxonomy code 133VN1101X.

Is Samantha Stough enrolled in Medicare?

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

Which organization bills Medicare for Samantha Stough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Stough reassigns Medicare benefits to Adventist Health Physicians Network (Yuba City, 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 Stough'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 Stough was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.