SAMANTHA JOHNSON O.D., PC
NPI 1760101588
Clinic/Center in Los Angeles, CA

Q: What is Samantha Johnson O.D., PC's NPI number?

The NPI number for Samantha Johnson O.D., PC is 1760101588. It was assigned to this organization in the NPPES registry on August 24, 2022.

Q: What is Samantha Johnson O.D., PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since August 24, 2022

4545 E 3RD ST STE 105, LOS ANGELES, CA 90022(323) 261-3098 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Samantha Johnson O.d., Pc NPPES

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

SAMANTHA JOHNSON O.D., PC (NPI 1760101588) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since August 2022. The organization lists Samantha Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1760101588

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSAMANTHA JOHNSON O.D., PC

Location Address4545 E 3RD ST STE 105Los Angeles, CA 90022-1656

Mailing Address4545 E 3rd St Ste 105Los Angeles, CA 90022-1656 · (619) 820-2756

Phone(323) 261-3098

Organization SubpartNo

Authorized OfficialSamantha JohnsonPresident · (619) 820-2756

Enumeration DateAugust 24, 2022

NPPES CertifiedAugust 24, 2022

✔ NPI 1760101588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4545 E 3RD ST STE 105, Los Angeles, CA 90022

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Johnson O.d., Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Samantha Johnson O.D., PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samantha Johnson, O.D.

Optometry

NPI 1144774928

4545 E 3RD ST
Los Angeles, CA 90022

(323) 261-3098

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Samantha Johnson O.D., PC's NPI number?

The NPI number for Samantha Johnson O.D., PC is 1760101588. It was assigned to this organization in the NPPES registry on August 24, 2022.

Where is Samantha Johnson O.D., PC located?

Samantha Johnson O.D., PC is located at 4545 E 3rd St Ste 105, Los Angeles, CA 90022. The listed phone number is (323) 261-3098.

What is Samantha Johnson O.D., PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Samantha Johnson O.D., PC enrolled in Medicare?

Yes. Samantha Johnson O.D., PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samantha Johnson O.D., PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Samantha Johnson O.D., PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Samantha Johnson O.D., PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Samantha Johnson O.D., PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Johnson O.D., PC was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.