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DR. JACOB EDWARD SAMUELSON DC
NPI 1356058333
Chiropractor in Westminster, CA

Active since October 31, 2022Accepts Medicare Assignment
14120 BEACH BLVD STE 225, WESTMINSTER, CA 92683(866) 303-9355 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2023, Nov 2, 2022 (2 updates tracked since 2022).

About Dr. Jacob Edward Samuelson Dc NPPES

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

DR. JACOB EDWARD SAMUELSON DC (NPI 1356058333) is an individual chiropractor in Westminster, California, licensed in California (36494) and active in the NPI registry since October 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1356058333
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACOB EDWARD SAMUELSONCredential: DC
Location Address14120 BEACH BLVD STE 225Westminster, CA 92683-4497
Mailing Address14120 Beach Blvd Ste 225Westminster, CA 92683-4497 · (866) 303-9355
Phone(866) 303-9355
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 31, 2022
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1356058333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 36494
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
14120 BEACH BLVD STE 225, Westminster, CA 92683
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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 and accepts Medicare assignment

Dr. Jacob Edward Samuelson Dc 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 ID1557739372
PECOS Enrollment IDI20221128002519

Areas of Expertise CMS Part B claims 2

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
408 services47 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
140 services19 patients

Other Providers at the Same Location NPPES

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

CAROLYN CHU PHAN PT, DPT
Physical Therapist
14120 BEACH BLVD STE 225
WESTMINSTER, CA 92683
Orange County (866) 303-9355

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 Jacob Samuelson's NPI number?

The NPI number for Jacob Samuelson is 1356058333. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Jacob Samuelson located?

Jacob Samuelson practices at 14120 Beach Blvd Ste 225, Westminster, CA 92683. The listed phone number is (866) 303-9355.

What is Jacob Samuelson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jacob Samuelson enrolled in Medicare?

Yes. Jacob Samuelson 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 Jacob Samuelson was last updated on March 6, 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.