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KALONI SAM FNP-BC
NPI 1306681929
Nurse Practitioner - Family in Santa Ana, CA

Active since June 26, 2024PECOS Enrolled
2010 E 1ST ST STE 100, SANTA ANA, CA 92705(714) 556-7246 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kaloni Sam Fnp-bc NPPES

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

KALONI SAM FNP-BC (NPI 1306681929) is an individual family provider in Santa Ana, California, licensed in California (95025391) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306681929
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKALONI SAMCredential: FNP-BC
Location Address2010 E 1ST ST STE 100Santa Ana, CA 92705-4086
Mailing Address2010 E 1st St Ste 100Santa Ana, CA 92705-4086 · (714) 556-7246
Phone(714) 556-7246
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1306681929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95025391
2010 E 1ST ST STE 100, Santa Ana, CA 92705
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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)

Kaloni Sam Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42715450
PECOS Enrollment IDI20250925004857
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kaloni Sam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healing Edge Medical Group - Ca
30 mi
Surgical
100 E HUNTINGTON DR STE 203
Alhambra, CA 91801
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1982432506 (323) 264-7796
California Wound Healing Medical Group Inc.
30 mi
Surgical
100 E HUNTINGTON DR STE 209
Alhambra, CA 91801
  • Reassigned Medicare billing, California enrollment
  • 50 clinicians in this Medicare group
NPI 1235333972 (323) 264-7796

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JANNETH BAUTISTA N.P.
Nurse Practitioner (Primary Care)
2010 E 1ST ST STE 100
SANTA ANA, CA 92705
Orange County (714) 556-7246
ANISSA ELLEN SPADA NURSE PRACTITIONER
Nurse Practitioner (Acute Care)
2010 E 1ST ST STE 100
SANTA ANA, CA 92705
Orange County (714) 556-7246
ELITE PAIN MANAGEMENT INC.
Pain Medicine (Interventional Pain Medicine)
2010 E 1ST ST STE 100
SANTA ANA, CA 92705
Orange County (714) 556-7246
LAUREN KIM NP
Nurse Practitioner (Family)
2010 E 1ST ST STE 100
SANTA ANA, CA 92705
Orange County (714) 556-7246
DOUGLAS MARTIN SIEGMUND FNP-C
Nurse Practitioner (Family)
2010 E 1ST ST STE 100
SANTA ANA, CA 92705
Orange County (714) 556-7246
EVE A NG FNP-C
Pain Medicine (Interventional Pain Medicine)
2010 E 1ST ST STE 100
SANTA ANA, CA 92705
Orange County (714) 556-7246
NHU PHAM FNP
Nurse Practitioner
2010 E 1ST ST STE 100
SANTA ANA, CA 92705
Orange County (714) 786-0294

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 Kaloni Sam's NPI number?

The NPI number for Kaloni Sam is 1306681929. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Kaloni Sam located?

Kaloni Sam practices at 2010 E 1st St Ste 100, Santa Ana, CA 92705. The listed phone number is (714) 556-7246.

What is Kaloni Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kaloni Sam enrolled in Medicare?

Yes. Kaloni Sam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kaloni Sam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaloni Sam reassigns Medicare benefits to 2 organizations: Healing Edge Medical Group - Ca (Alhambra, CA) and California Wound Healing Medical Group Inc. (Alhambra, CA). Each 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 Kaloni Sam'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 Kaloni Sam was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.