SAMEEN ANSARI MD
NPI 1629650973
Student in an Organized Health Care Education/Training Program in Harbor City, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Sameen Ansari reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 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.
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.
HARBOR CITY, CA 90710
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.
Which organizations bill Medicare for Sameen Ansari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sameen Ansari reassigns Medicare benefits to 2 organizations: University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each 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 Sameen Ansari'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 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.
# Sameen Ansari, MD · NPI 1629650973
Student in an Organized Health Care Education/Training Program provider in Harbor City, California. Individual provider, active in the CMS NPPES registry since April 26, 2021.
## Identity
- **NPI:** 1629650973 (Entity type: Individual)
- **Enumerated:** April 26, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1403 LOMITA BLVD, Harbor City, CA 90710-2076
- **Phone:** (310) 602-2550 · **Fax:** (310) 326-7205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oakland Univ, William Beaumont School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** April 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629650973) · Data from the CMS NPPES public registry.