SAMANTHA KASI BODIFORD MD
NPI 1730684200
Family Medicine in Imperial Beach, CA

Q: What is Samantha Bodiford's NPI number?

The NPI number for Samantha Bodiford is 1730684200. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Q: What is Samantha Bodiford's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Bodiford was last updated on September 23, 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.

Active since March 27, 2018PECOS Enrolled

949 PALM AVE, IMPERIAL BEACH, CA 91932(619) 429-3733 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2021, Mar 27, 2018 (2 updates tracked since 2018).

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About Samantha Kasi Bodiford Md NPPES

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

SAMANTHA KASI BODIFORD MD (NPI 1730684200) is an individual family medicine provider in Imperial Beach, California, licensed in California (A165398) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730684200

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSAMANTHA KASI BODIFORDCredential: MD

Location Address949 PALM AVEImperial Beach, CA 91932-1503

Mailing Address1022 E 15th StNational City, CA 91950-4707 · (760) 681-9248

Phone(619) 429-3733

Sole ProprietorNo

Enumeration DateMarch 27, 2018

Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2021

✔ NPI 1730684200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A165398

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

949 PALM AVE, Imperial Beach, CA 91932

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Kasi Bodiford 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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Bodiford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Imperial Beach Community Clinic

Same address

Community Health

949 PALM AVENUE
Imperial Beach, CA 91932

Reassigned Medicare billing, California enrollment
24 clinicians in this Medicare group

NPI 1790718351 (619) 429-3733

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 91932 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 17

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

MARIANNA YAEL GONZALEZ CHAVEZ RDN

Dietitian, Registered