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DR. SAMUEL BOOTH VIGLIETTA M.D.
NPI 1679937759
Psychiatry & Neurology - Psychiatry in Pasadena, CA

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
675 S ARROYO PKWY STE 420, PASADENA, CA 91105(925) 282-1778 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2024, Apr 24, 2020 (2 updates tracked since 2020).

About Dr. Samuel Booth Viglietta M.d. NPPES

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

DR. SAMUEL BOOTH VIGLIETTA M.D. (NPI 1679937759) is an individual psychiatry provider in Pasadena, California, licensed in California (A168577) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679937759
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SAMUEL BOOTH VIGLIETTACredential: M.D.
Location Address675 S ARROYO PKWY STE 420Pasadena, CA 91105-3215
Mailing Address675 S Arroyo Pkwy Ste 420Pasadena, CA 91105-3215
Phone(925) 282-1778
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 5, 2016
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1679937759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A168577
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
675 S ARROYO PKWY STE 420, Pasadena, CA 91105
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Secondary Practice Location 1

Location 1462 Grider StBuffalo, NY 14215-3021 · Phone (716) 898-4221

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 Booth Viglietta M.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 ID6103163142
PECOS Enrollment IDI20201103001943
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Samuel Viglietta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Santa Barbara County Alcohol, Drug, And Mental Health Services
91 mi
Adult Mental Health
315 W HALEY ST
Santa Barbara, CA 93101
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Santa Barbara County Auditor
  • 100 clinicians in this Medicare group
NPI 1205961968 (805) 884-6850
Pacific Coast Psychiatric Associates Inc
360 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360
Traditions Psychiatry Group, P.C
394 mi
Psychiatry
1287 FULTON RD
Santa Rosa, CA 95401
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Traditions Psychiatry Group PC
  • 98 clinicians in this Medicare group
NPI 1083802979 (707) 258-8757

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 91105 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

JERRICA TRANELL CALVILLO LMFT
Marriage & Family Therapist
675 S ARROYO PKWY STE 420
PASADENA, CA 91105
Los Angeles County (925) 282-1778
MICHAEL DAVID SKIBBA LCSW
Social Worker (Clinical)
675 S ARROYO PKWY STE 420
PASADENA, CA 91105
Los Angeles County (925) 282-1778
PATRICIA FAYE WESLEY MD
Psychiatry & Neurology (Psychiatry)
675 S ARROYO PKWY STE 420
PASADENA, CA 91105
Los Angeles County (925) 282-1778
DR. ANNIE BAILEY PHD, LP
Psychologist (Clinical)
675 S ARROYO PKWY STE 420
PASADENA, CA 91105
Los Angeles County (925) 282-1778
KARA FAITH HEEYOUNG PARK LMFT
Marriage & Family Therapist
675 S ARROYO PKWY STE 420
PASADENA, CA 91105
Los Angeles County (925) 282-1778
SAWNDRA LYNNETTE WILLIAMS LCSW
Social Worker (Clinical)
675 S ARROYO PKWY STE 420
PASADENA, CA 91105
Los Angeles County (925) 282-1778
JONATHAN SHEY-SEN NI MD
Psychiatry & Neurology (Psychiatry)
675 S ARROYO PKWY STE 420
PASADENA, CA 91105
Los Angeles County (925) 282-1778
JONATHAN MICHAEL KENDALL LMFT
Marriage & Family Therapist
675 S ARROYO PKWY STE 420
PASADENA, CA 91105
Los Angeles County (925) 282-1778

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 Viglietta's NPI number?

The NPI number for Samuel Viglietta is 1679937759. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Samuel Viglietta located?

Samuel Viglietta practices at 675 S Arroyo Pkwy Ste 420, Pasadena, CA 91105. The listed phone number is (925) 282-1778.

What is Samuel Viglietta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samuel Viglietta enrolled in Medicare?

Yes. Samuel Viglietta 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 Samuel Viglietta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Viglietta reassigns Medicare benefits to 3 organizations: Santa Barbara County Alcohol, Drug, And Mental Health Services (Santa Barbara, CA), Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ) and Traditions Psychiatry Group, P.C (Santa Rosa, 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 Samuel Viglietta'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 Viglietta was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.