MRS. SAMARA VACHSS SEROTKIN M.S.
NPI 1386809622
Student in an Organized Health Care Education/Training Program in Concord, CA
NPI Status: Active since July 25, 2008
Contact Information
1333 WILLOW PASS RD
SUITE 102
CONCORD, CA
ZIP 94520
Phone: (925) 825-1793
- Individual
- Female
- Student in an Organized Health Care Educ...
- Accepts Insurance
- Opted-Out Medicare
About SAMARA SEROTKIN
This page provides the complete NPI Profile along with additional information for Samara Serotkin, a primary care provider established in Concord, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1386809622 assigned on July 2008. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1386809622
- Provider Name
- MRS. SAMARA VACHSS SEROTKIN M.S.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1333 WILLOW PASS RD SUITE 102 CONCORD, CA 94520
- Location Phone
- (925) 825-1793
- Mailing Address
- 1333 WILLOW PASS RD SUITE 102 CONCORD, CA 94520
- Mailing Phone
- (925) 825-1793
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-25-2008
- Last Update Date
- 08-25-2008
- Code Navigator
A primary care provider (PCP) like Samara Serotkin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Samara Serotkin opted out of Medicare effective on 02-18-2025 until 02-18-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-18-2025
Opt-Out End Date: 02-18-2027
Eligible to Order and Refer? No
Reviews for MRS. SAMARA VACHSS SEROTKIN M.S.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1386809622, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CONCORD, CA 94520
CONCORD, CA 94520
CONCORD, CA 94520
CONCORD, CA 94520
CONCORD, CA 94520
CONCORD, CA 94520
CONCORD, CA 94520
CONCORD, CA 94520
CONCORD, CA 94520
CONCORD, CA 94520
CONCORD, CA 94520
CONCORD, CA 94520
CONCORD, CA 94520
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386809622, enumerated as an "individual" on July 25, 2008.
The provider is located at 1333 WILLOW PASS RD SUITE 102 CONCORD, CA 94520 and the phone number is (925) 825-1793.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
