DR. SAMUEL GAWARGI O.D.
NPI 1467834275
Optometrist in San Diego, CA
About Dr. Samuel Gawargi O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL GAWARGI O.D. (NPI 1467834275) is an individual optometrist in San Diego, California, licensed in California (15240) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2015).
NPPES Registry Identity
Specialties & Licenses 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Samuel Gawargi O.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Gawargi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92122
SAN DIEGO, CA 92122
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 Gawargi's NPI number?
The NPI number for Samuel Gawargi is 1467834275. It was assigned to this individual provider in the NPPES registry on June 29, 2015.
Where is Samuel Gawargi located?
Samuel Gawargi practices at 4353 La Jolla Village Dr, San Diego, CA 92122. The listed phone number is (201) 935-3041.
What is Samuel Gawargi's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Samuel Gawargi enrolled in Medicare?
Yes. Samuel Gawargi 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.
Which organization bills Medicare for Samuel Gawargi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Gawargi reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Gawargi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Gawargi was last updated on November 29, 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.
# Dr. Samuel Gawargi, O.D. · NPI 1467834275
Optometrist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 29, 2015.
## Identity
- **NPI:** 1467834275 (Entity type: Individual)
- **Enumerated:** June 29, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 15240 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4353 LA JOLLA VILLAGE DR, San Diego, CA 92122-1259
- **Phone:** (201) 935-3041
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2015
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1467834275) · Data from the CMS NPPES public registry.