DR. GINA SAMAAN PSYD
NPI 1770734105
Health Maintenance Organization in South San Francisco, CA

Active since October 03, 2008PECOS EnrolledAccepts Medicare Assignment
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080(650) 742-3985(650) 742-2398 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2021, Dec 15, 2020 (2 updates tracked since 2020).

About Dr. Gina Samaan Psyd NPPES

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

DR. GINA SAMAAN PSYD (NPI 1770734105) is an individual health maintenance organization provider in South San Francisco, California, licensed in California (PSY21580) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1770734105
Entity TypeIndividualFemale
Primary Taxonomy302R00000X
Provider Legal NameDR. GINA SAMAANCredential: PSYD
Location Address1200 EL CAMINO REALSouth San Francisco, CA 94080-3208
Mailing Address1200 El Camino RealSouth San Francisco, CA 94080-3208 · (650) 742-3985 · Fax (650) 742-2398
Fax(650) 742-2398
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 3, 2008
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1770734105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License✔ Licensed in CA · PSY21580
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
1200 EL CAMINO REAL, South San Francisco, CA 94080

Other Names 1

Professional Name (2)Gina Fahmi Grace

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. Gina Samaan Psyd 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 ID8729222849
PECOS Enrollment IDI20130911000445
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

2

Medicare enrollment records show Gina Samaan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 34 clinicians in this Medicare group
Health Maintenance Organization
9100 ROSEDALE HWY
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group

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

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.

Pharmacist
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
Respiratory Therapist, Registered
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
Internal Medicine
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
Radiology (Diagnostic Radiology)
1200 EL CAMINO REAL, 1ST FLOOR, DEPARTMENT OF RADIOLOGY
SOUTH SAN FRANCISCO, CA 94080
Nurse Anesthetist, Certified Registered
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
Internal Medicine (Hematology & Oncology)
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
Emergency Medicine
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080
Pharmacist
1200 EL CAMINO REAL, KAISER PERMANENTE INPATIENT PHARMACY 3RD FLOOR
SOUTH SAN FRANCISCO, CA 94080

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 Gina Samaan's NPI number?

The NPI number for Gina Samaan is 1770734105. It was assigned to this individual provider in the NPPES registry on October 3, 2008. The provider is also known as Gina Fahmi Grace.

Where is Gina Samaan located?

Gina Samaan practices at 1200 El Camino Real, South San Francisco, CA 94080. The listed phone number is (650) 742-3985.

What is Gina Samaan's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Is Gina Samaan enrolled in Medicare?

Yes. Gina Samaan 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 Gina Samaan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Samaan reassigns Medicare benefits to 2 organizations: Doctor On Demand Professionals Of California (San Francisco, CA) and Southern California Permanente Medical Group (Bakersfield, 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 Gina Samaan'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 Gina Samaan was last updated on December 1, 2021. 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.