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SAMANEH BOLOURCHI
NPI 1487393419
Internal Medicine in Oakland, CA

Active since May 27, 2022PECOS Enrolled
1411 E 31ST ST, OAKLAND, CA 94602(510) 915-0079(510) 535-7313 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 7, 2026, Mar 30, 2023, May 27, 2022 (3 updates tracked since 2022).

About Samaneh Bolourchi NPPES

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

SAMANEH BOLOURCHI (NPI 1487393419) is an individual internal medicine provider in Oakland, California, licensed in California (20A25380) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2023).

NPPES Registry Identity

NPI1487393419
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSAMANEH BOLOURCHI
Location Address1411 E 31ST STOakland, CA 94602-1018
Mailing Address1411 E 31st StOakland, CA 94602-1018
Phone(510) 915-0079
Fax(510) 535-7313
Sole ProprietorYes
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2023
Enumeration DateMay 27, 2022
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1487393419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A25380
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1411 E 31ST ST, Oakland, CA 94602
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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)

Samaneh Bolourchi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547733834
PECOS Enrollment IDI20260627000644
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 94602 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

MS. YVONNE DIANE ESCARSEGA MSW
Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
MR. JUAN CASILLAS JR. NP
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4800
SADHANA SAMANT MD
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Alameda County (510) 437-4323
PATRICIA SCOTT MEYER PA
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (209) 342-2300
NATHALIE BALOGUN MSW MPH
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Alameda County (510) 437-4949
CYNTHIA MARIE ROWDEN RN
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
DR. KAYLA ENRIQUEZ MD
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4564
DR. CHERYL LIN PARK M.D.
Surgery
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4743

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 Samaneh Bolourchi's NPI number?

The NPI number for Samaneh Bolourchi is 1487393419. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Where is Samaneh Bolourchi located?

Samaneh Bolourchi practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 915-0079.

What is Samaneh Bolourchi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samaneh Bolourchi enrolled in Medicare?

Yes. Samaneh Bolourchi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samaneh Bolourchi was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.