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KYRA MARINA SAMSON MD
NPI 1366585432
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
4660 PALM AVE, SAN DIEGO, CA 92154(877) 496-0450(619) 662-5375 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyra Marina Samson Md NPPES

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

KYRA MARINA SAMSON MD (NPI 1366585432) is an individual psychiatry provider in San Diego, California, licensed in Maryland (D0063935) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2002).

NPPES Registry Identity

NPI1366585432
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKYRA MARINA SAMSONCredential: MD
Location Address4660 PALM AVESan Diego, CA 92154-8404
Mailing Address4660 Palm AveSan Diego, CA 92154-8404 · (877) 496-0450 · Fax (619) 662-5375
Phone(877) 496-0450
Fax(619) 662-5375
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2002
Enumeration DateFebruary 15, 2007
Last NPPES UpdateDecember 1, 2021
✔ NPI 1366585432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MD · D0063935
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4660 PALM AVE, San Diego, CA 92154
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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

Kyra Marina Samson Md 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 ID5496847097
PECOS Enrollment IDI20090311000465
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 92154 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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 20

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

MS. SONYA NONE STARR L.C.S.W.
Social Worker (Clinical)
4660 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5000
JUSTUS HUNG-CHING KAM M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4660 PALM AVE, SECOND FLOOR
SAN DIEGO, CA 92154
San Diego County (877) 496-0450
MS. PAULA LYNN BEEDE MFT
Marriage & Family Therapist
4660 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5000
VERONICA ANGELIQUE JOHNSON LPCC
Counselor (Professional)
4660 PALM AVE
SAN DIEGO, CA 92154
San Diego County (510) 461-9535
SASHA KESELOFF ACSW
Psychiatry & Neurology (Psychiatry)
4660 PALM AVE
SAN DIEGO, CA 92154
San Diego County (833) 579-4848
MS. LESLEE LEVIN L.C.S.W.
Social Worker (Clinical)
4660 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5421
ALEXANDRA GARCIA
Social Worker (Clinical)
4660 PALM AVE
SAN DIEGO, CA 92154
San Diego County (877) 496-0450
MS. GRACE MAMARIL CALUYA LCSW
Social Worker (Clinical)
4660 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5492

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 Kyra Samson's NPI number?

The NPI number for Kyra Samson is 1366585432. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Kyra Samson located?

Kyra Samson practices at 4660 Palm Ave, San Diego, CA 92154. The listed phone number is (877) 496-0450.

What is Kyra Samson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kyra Samson enrolled in Medicare?

Yes. Kyra Samson 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 Kyra Samson was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.