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SAMUEL GLICK MD
NPI 1417534009
Pediatrics in Los Angeles, CA

Active since March 28, 2021PECOS Enrolled
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095(310) 825-0867(310) 794-5066 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 27, 2024, Nov 5, 2022, Mar 28, 2021 (3 updates tracked since 2021).

About Samuel Glick Md NPPES

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

SAMUEL GLICK MD (NPI 1417534009) is an individual pediatrics provider in Los Angeles, California, licensed in California (A195032) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417534009
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSAMUEL GLICKCredential: MD
Location Address200 UCLA MEDICAL PLZ STE 265Los Angeles, CA 90095-8358
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-0867
Fax(310) 794-5066
Sole ProprietorNo
Enumeration DateMarch 28, 2021
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1417534009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A195032
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 UCLA MEDICAL PLZ STE 265, Los Angeles, CA 90095
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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)

Samuel Glick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90095 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

MICHAEL R RECTO MD
Pediatrics (Pediatric Cardiology)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
TALIN BABIKIAN PHD
Psychologist (Clinical)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
DR. RISHMA CHAND M.D.
Pediatrics (Pediatric Critical Care Medicine)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
DR. ELLEN MILLER CAMPBELL MD
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
EMMA DOROTHY BURDEKIN
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
SARA RICHARDS MD
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
SUKSHMA REDDY SREEPATHI M.D.
Pediatrics (Neonatal-Perinatal Medicine)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
DR. CHRISTIAN STUART MCEVOY MD, MPH
Surgery (Pediatric Surgery)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5904

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 Samuel Glick's NPI number?

The NPI number for Samuel Glick is 1417534009. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Samuel Glick located?

Samuel Glick practices at 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095. The listed phone number is (310) 825-0867.

What is Samuel Glick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samuel Glick enrolled in Medicare?

Yes. Samuel Glick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Glick was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.