DR. SAMUEL GAWARGI O.D.
NPI 1467834275
Optometrist in San Diego, CA

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
4353 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92122(201) 935-3041 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2021, Nov 25, 2015 (2 updates tracked since 2015).

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

NPI1467834275
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMUEL GAWARGICredential: O.D.
Location Address4353 LA JOLLA VILLAGE DRSan Diego, CA 92122-1259
Mailing Address5965 Village Way, Ste 205San Diego, CA 92130-2475 · (858) 481-3937 · Fax (858) 753-6526
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2015
Enumeration DateJune 29, 2015
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPI 1467834275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 15240
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 15240 (CA)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 15240 (CA)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 15240 (CA)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 15240 (CA)
4353 LA JOLLA VILLAGE DR, San Diego, CA 92122

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2567753197
PECOS Enrollment IDI20160628003151
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 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.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 5

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

Optometrist
4353 LA JOLLA VILLAGE DR, SUITE H20
SAN DIEGO, CA 92122
Optometrist
4353 LA JOLLA VILLAGE DR, SUITE H20
SAN DIEGO, CA 92122
Optometrist
4353 LA JOLLA VILLAGE DR, STE H-20
SAN DIEGO, CA 92122
Optometrist
4353 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92122
Eyewear Supplier
4353 LA JOLLA VILLAGE DR, UNIVERSITY TOWNE CTR STE #H20
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.

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.