MRS. SAMARA VACHSS SEROTKIN M.S.
NPI 1386809622
Student in an Organized Health Care Education/Training Program in Concord, CA

Active since July 25, 2008Opted out of Medicare · through Feb 18, 2027
1333 WILLOW PASS RD, SUITE 102, CONCORD, CA 94520(925) 825-1793 Get Directions Write a Review

NPPES record last updated: August 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Samara Vachss Serotkin M.s. NPPES

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

MRS. SAMARA VACHSS SEROTKIN M.S. (NPI 1386809622) is an individual student in an organized health care education/training program in Concord, California and active in the NPI registry since July 2008. She has opted out of Medicare through February 18, 2027.

NPPES Registry Identity

NPI1386809622
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. SAMARA VACHSS SEROTKINCredential: M.S.
Location Address1333 WILLOW PASS RD, SUITE 102Concord, CA 94520-7930
Mailing Address1333 Willow Pass Rd, Suite 102Concord, CA 94520-7930 · (925) 825-1793
Sole ProprietorYes
Enumeration DateJuly 25, 2008
Last NPPES UpdateAugust 25, 2008
NPI 1386809622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1333 WILLOW PASS RD, Concord, CA 94520

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Samara Vachss Serotkin M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 18, 2025 through February 18, 2027.

Opt-Out Effective DateFebruary 18, 2025
Opt-Out In Effect ThroughFebruary 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Counselor (Mental Health)
1333 WILLOW PASS RD, 101
CONCORD, CA 94520
Psychologist (Clinical)
1333 WILLOW PASS RD, SUITE 102
CONCORD, CA 94520
Social Worker
1333 WILLOW PASS RD, SUITE 106
CONCORD, CA 94520
Psychologist (Counseling)
1333 WILLOW PASS RD, SUITE 102
CONCORD, CA 94520
Student in an Organized Health Care Education/Training Program
1333 WILLOW PASS RD
CONCORD, CA 94520
Marriage & Family Therapist
1333 WILLOW PASS RD
CONCORD, CA 94520
Student in an Organized Health Care Education/Training Program
1333 WILLOW PASS RD, SUITE 102
CONCORD, CA 94520
Psychologist
1333 WILLOW PASS RD, SUITE 102
CONCORD, CA 94520

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 Samara Serotkin's NPI number?

The NPI number for Samara Serotkin is 1386809622. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Where is Samara Serotkin located?

Samara Serotkin practices at 1333 Willow Pass Rd Suite 102, Concord, CA 94520. The listed phone number is (925) 825-1793.

What is Samara Serotkin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samara Serotkin enrolled in Medicare?

No. Samara Serotkin has opted out of Medicare through February 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Samara Serotkin accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Samara Serotkin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samara Serotkin was last updated on August 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.