SAMANTHA CHRISTINE AYOUB
NPI 1346701174
Family Medicine - Addiction Medicine in Loma Linda, CA

Q: What is Samantha Ayoub's NPI number?

The NPI number for Samantha Ayoub is 1346701174. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Samantha Ayoub's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Ayoub was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since March 26, 2019PECOS Enrolled

24785 STEWART ST STE 204, LOMA LINDA, CA 92350(847) 989-1195 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samantha Christine Ayoub NPPES

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

SAMANTHA CHRISTINE AYOUB (NPI 1346701174) is an individual addiction medicine provider in Loma Linda, California, licensed in California (A183372) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1346701174

Entity TypeIndividualFemale

Primary Taxonomy207QA0401X

Provider Legal NameSAMANTHA CHRISTINE AYOUB

Location Address24785 STEWART ST STE 204Loma Linda, CA 92350-1721

Mailing Address24785 Stewart St Ste 204Loma Linda, CA 92350-1721 · (847) 989-1195

Phone(847) 989-1195

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 26, 2019

Last NPPES UpdateOctober 15, 2024

NPPES CertifiedSeptember 20, 2023

✔ NPI 1346701174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in CA · A183372

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

24785 STEWART ST STE 204, Loma Linda, CA 92350

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Christine Ayoub is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375874100

PECOS Enrollment IDI20251205001880

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 5

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

RICHEL YOLANDI STRYDOM M.D.

Preventive Medicine (Public Health & General Preventive Medicine)