SAMUEL DE CHAVEZ SAMSON NP
NPI 1689387045
Nurse Practitioner - Family in Newark, CA

Active since January 02, 2023PECOS EnrolledAccepts Medicare Assignment
5763 STEVENSON BLVD, NEWARK, CA 94560(510) 656-5700 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel De Chavez Samson Np NPPES

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

SAMUEL DE CHAVEZ SAMSON NP (NPI 1689387045) is an individual family provider in Newark, California, licensed in California (95023358) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689387045
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL DE CHAVEZ SAMSONCredential: NP
Location Address5763 STEVENSON BLVDNewark, CA 94560-5301
Mailing Address4115 Clarinbridge CirDublin, CA 94568-7210 · (650) 452-3438
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 2, 2023
NPPES CertifiedDecember 20, 2022
NPI 1689387045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95023358
5763 STEVENSON BLVD, Newark, CA 94560

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

Samuel De Chavez Samson Np 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 ID5890140362
PECOS Enrollment IDI20231018003634
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94560 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
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 11

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

Nurse Practitioner (Family)
5763 STEVENSON BLVD
NEWARK, CA 94560
Nurse Practitioner (Adult Health)
5763 STEVENSON BLVD
NEWARK, CA 94560
Internal Medicine
5763 STEVENSON BLVD
NEWARK, CA 94560
Physician Assistant
5763 STEVENSON BLVD
NEWARK, CA 94560
Clinic/Center (Urgent Care)
5763 STEVENSON BLVD
NEWARK, CA 94560
Internal Medicine
5763 STEVENSON BLVD
NEWARK, CA 94560
Clinic/Center (Urgent Care)
5763 STEVENSON BLVD
NEWARK, CA 94560
Family Medicine
5763 STEVENSON BLVD
NEWARK, CA 94560

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 Samson's NPI number?

The NPI number for Samuel Samson is 1689387045. It was assigned to this individual provider in the NPPES registry on January 2, 2023.

Where is Samuel Samson located?

Samuel Samson practices at 5763 Stevenson Blvd, Newark, CA 94560. The listed phone number is (510) 656-5700.

What is Samuel Samson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samuel Samson enrolled in Medicare?

Yes. Samuel Samson 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 Samson was last updated on January 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.