SAMANTHA CATHERINE FISCH MD
NPI 1720738156
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Samantha Fisch's NPI number?

The NPI number for Samantha Fisch is 1720738156. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Q: What is Samantha Fisch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Fisch was last updated on March 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2022PECOS Enrolled

1545 DIVISADERO ST, SAN FRANCISCO, CA 94143(415) 353-7900 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Samantha Catherine Fisch Md NPPES

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

SAMANTHA CATHERINE FISCH MD (NPI 1720738156) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720738156

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA CATHERINE FISCHCredential: MD

Location Address1545 DIVISADERO STSan Francisco, CA 94143-3400

Mailing Address1545 Divisadero StSan Francisco, CA 94143-3400

Phone(415) 353-7900

Sole ProprietorYes

Enumeration DateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1720738156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1545 DIVISADERO ST, San Francisco, CA 94143

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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)

Samantha Catherine Fisch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.