SAMEEN ANSARI MD
NPI 1629650973
Student in an Organized Health Care Education/Training Program in Harbor City, CA

Active since April 26, 2021PECOS EnrolledAccepts Medicare Assignment
1403 LOMITA BLVD, HARBOR CITY, CA 90710(310) 602-2550(310) 326-7205 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sameen Ansari Md NPPES

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

SAMEEN ANSARI MD (NPI 1629650973) is an individual student in an organized health care education/training program in Harbor City, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2021).

NPPES Registry Identity

NPI1629650973
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMEEN ANSARICredential: MD
Location Address1403 LOMITA BLVDHarbor City, CA 90710-2076
Mailing Address1403 Lomita BlvdHarbor City, CA 90710-2076 · (310) 602-2550 · Fax (310) 326-7205
Fax(310) 326-7205
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2021
Enumeration DateApril 26, 2021
NPPES CertifiedApril 26, 2021
NPI 1629650973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1403 LOMITA BLVD, Harbor City, CA 90710

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

Sameen Ansari Md 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 ID3779015201
PECOS Enrollment IDI20241022001877
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.

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.

Nurse Practitioner (Women's Health)
1403 LOMITA BLVD
HARBOR CITY, CA 90710
Specialist
1403 LOMITA BLVD, SUITE 107
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD, SUITE 100
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD, SUITE 200
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD, SECOND FLOOR
HARBOR CITY, CA 90710
Student in an Organized Health Care Education/Training Program
1403 LOMITA BLVD, SUITE102
HARBOR CITY, CA 90710
Clinic/Center
1403 LOMITA BLVD, SUITE 102, ROOMS 1-26 & CONFERENCE ROOM
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD, SUITE 200
HARBOR CITY, CA 90710

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 Sameen Ansari's NPI number?

The NPI number for Sameen Ansari is 1629650973. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Sameen Ansari located?

Sameen Ansari practices at 1403 Lomita Blvd, Harbor City, CA 90710. The listed phone number is (310) 602-2550.

What is Sameen Ansari's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sameen Ansari enrolled in Medicare?

Yes. Sameen Ansari 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 Sameen Ansari was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.