SAMANTHA TANGCHAIBURANA
NPI 1346649928
Nurse Practitioner - Acute Care in Los Angeles, CA

Active since August 19, 2014PECOS EnrolledAccepts Medicare Assignment
75.48/100
CMS Quality Rating
100 UCLA MEDICAL PLZ STE 100, LOS ANGELES, CA 90024(310) 481-7545(310) 497-9070 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Tangchaiburana NPPES

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

SAMANTHA TANGCHAIBURANA (NPI 1346649928) is an individual acute care provider in Los Angeles, California, licensed in California (95001107) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1346649928
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSAMANTHA TANGCHAIBURANA
Location Address100 UCLA MEDICAL PLZ STE 100Los Angeles, CA 90024-7000
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (301) 758-9683
Fax(310) 497-9070
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 19, 2014
Last NPPES UpdateDecember 19, 2019
NPI 1346649928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in CA · 95001107
Also ListedRegistered NurseTaxonomy 163W00000X · License 758670 (CA)
100 UCLA MEDICAL PLZ STE 100, Los Angeles, CA 90024

Secondary Practice Location 1

Location 11245 16th St Ste 110Santa Monica, CA 90404-1240 · Phone (310) 319-4033 · Fax (310) 794-9035

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 Tangchaiburana 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 ID648534511
PECOS Enrollment IDI20180430001736
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
118 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.27
Promoting Interoperability100
Improvement Activities40
Cost55.01

Other Providers at the Same Location NPPES 15

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

Radiology (Vascular & Interventional Radiology)
100 UCLA MEDICAL PLZ STE 100
LOS ANGELES, CA 90024
Radiology (Diagnostic Radiology)
100 UCLA MEDICAL PLZ STE 100
LOS ANGELES, CA 90024
Nurse Practitioner (Acute Care)
100 UCLA MEDICAL PLZ STE 100
LOS ANGELES, CA 90024
Nurse Practitioner
100 UCLA MEDICAL PLZ STE 100
LOS ANGELES, CA 90024
Nurse Practitioner
100 UCLA MEDICAL PLZ STE 100
LOS ANGELES, CA 90024
Radiology (Diagnostic Radiology)
100 UCLA MEDICAL PLZ STE 100
LOS ANGELES, CA 90024
Registered Nurse
100 UCLA MEDICAL PLZ STE 100
LOS ANGELES, CA 90024
Radiology (Vascular & Interventional Radiology)
100 UCLA MEDICAL PLZ STE 100
LOS ANGELES, CA 90024

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 Tangchaiburana's NPI number?

The NPI number for Samantha Tangchaiburana is 1346649928. It was assigned to this individual provider in the NPPES registry on August 19, 2014.

Where is Samantha Tangchaiburana located?

Samantha Tangchaiburana practices at 100 Ucla Medical Plz Ste 100, Los Angeles, CA 90024. The listed phone number is (310) 481-7545.

What is Samantha Tangchaiburana's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Samantha Tangchaiburana enrolled in Medicare?

Yes. Samantha Tangchaiburana 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.

When was this NPI record last updated?

The NPPES record for Samantha Tangchaiburana was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.