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SAMUEL CANTLER PA-C
NPI 1780165514
Physician Assistant in San Diego, CA

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130(858) 764-3028 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2025, Jul 20, 2022, Jul 13, 2022 and 3 more (6 updates tracked since 2018).

About Samuel Cantler Pa-c NPPES

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

SAMUEL CANTLER PA-C (NPI 1780165514) is an individual physician assistant in San Diego, California, licensed in California (65153) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780165514
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL CANTLERCredential: PA-C
Location Address3811 VALLEY CENTRE DRSan Diego, CA 92130-3318
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 764-3028
Phone(858) 764-3028
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 29, 2018
Last NPPES UpdateFebruary 3, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1780165514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · 65153✔ Licensed in MD · C0008522
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3811 VALLEY CENTRE DR, San Diego, CA 92130
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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 and accepts Medicare assignment

Samuel Cantler Pa-c 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 ID8224410618
PECOS Enrollment IDI20250221001152
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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 20

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

TAYLOR LYNN ROMERO NP
Nurse Practitioner
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-9080
ANDREW SHIN LAI MD
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 455-9100
DR. TODD M. HITCHCOCK M.D.
Internal Medicine (Cardiovascular Disease)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3110
MANDY HILLMER FNP-C, CPNP
Nurse Practitioner (Pediatrics)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3040
DR. RIO DION DICKENS M.D.
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3000
DR. HOLLY E. HAUSER M.D.
Family Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-9081
MITCH BIERMANN
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3320
DR. ILIA J.L. CHRISTY M.D.
Internal Medicine
3811 VALLEY CENTRE DR, S99
SAN DIEGO, CA 92130
San Diego County (858) 764-3000

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 Cantler's NPI number?

The NPI number for Samuel Cantler is 1780165514. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Samuel Cantler located?

Samuel Cantler practices at 3811 Valley Centre Dr, San Diego, CA 92130. The listed phone number is (858) 764-3028.

What is Samuel Cantler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Cantler enrolled in Medicare?

Yes. Samuel Cantler 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 Cantler was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.