Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DAVID SAMUELSON PA
NPI 1417992470
Physician Assistant in Whittier, CA

Active since June 16, 2006PECOS Enrolled
12401 WASHINGTON BLVD, WHITTIER, CA 90602(562) 698-0811(818) 587-2493 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Samuelson Pa NPPES

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

DAVID SAMUELSON PA (NPI 1417992470) is an individual physician assistant in Whittier, California, licensed in California (PA15510) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417992470
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID SAMUELSONCredential: PA
Location Address12401 WASHINGTON BLVDWhittier, CA 90602-1006
Mailing AddressPo Box 4419Woodland Hills, CA 91365-4419 · (800) 506-6895 · Fax (818) 587-2493
Fax(818) 587-2493
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1417992470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA15510
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12401 WASHINGTON BLVD, Whittier, CA 90602

Other Identifiers 2

MedicaidPA15510CA
OtherP00189346CA · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Samuelson Pa 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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services37 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90602 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Anesthesiology
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Anesthesiology
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Radiology (Diagnostic Radiology)
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Physician Assistant
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Physician Assistant
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Emergency Medicine
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Internal Medicine
12401 WASHINGTON BLVD
WHITTIER, CA 90602
Physician Assistant
12401 WASHINGTON BLVD
WHITTIER, CA 90602

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 David Samuelson's NPI number?

The NPI number for David Samuelson is 1417992470. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is David Samuelson located?

David Samuelson practices at 12401 Washington Blvd, Whittier, CA 90602. The listed phone number is (562) 698-0811.

What is David Samuelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Samuelson enrolled in Medicare?

Yes. David Samuelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Samuelson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.