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FEDERICO SAMORTIN DOCTOR JR. M.D.
NPI 1790846129
Family Medicine in Mcclellan, CA

Active since December 12, 2006PECOS Enrolled
5342 DUDLEY BLVD, MCCLELLAN, CA 95652(916) 561-7400(916) 561-7405 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Federico Samortin Doctor Jr. M.d. NPPES

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

FEDERICO SAMORTIN DOCTOR JR. M.D. (NPI 1790846129) is an individual family medicine provider in Mcclellan, California, licensed in California (A101104) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790846129
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFEDERICO SAMORTIN DOCTOR JR.Credential: M.D.
Location Address5342 DUDLEY BLVDMcclellan, CA 95652-1012
Mailing Address8301 W Charleston Blvd, Apt.2066Las Vegas, NV 89117-9068 · (702) 577-3027
Phone(916) 561-7400
Fax(916) 561-7405
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateOctober 23, 2007
✔ NPI 1790846129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A101104✔ Licensed in NY · 242423
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.
5342 DUDLEY BLVD, Mcclellan, CA 95652
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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)

Federico Samortin Doctor Jr. M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95652 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$14.36 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.49 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

USCG AIRSTA SACRAMENTO
Military Hospital (Military General Acute Care Hospital)
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7568
MRS. MELLISA MARIE WILSON LCSW
Social Worker
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7708
CLARK LOMBOY NP
Nurse Practitioner (Family)
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7793
MISS VALERIE CHRISTIAN FNP
Nurse Practitioner (Family)
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7511
MRS. NICHOLE MARIA HIGHTOWER M.S.
Audiologist
5342 DUDLEY BLVD, MCCLELALN PARK VAOPC (AUDIOLOGY 126)
MCCLELLAN, CA 95652
Sacramento County (916) 561-7470
RINO DIZON DO
Family Medicine
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7560
MAE RUTH DOCTOR NP
Nurse Practitioner (Family)
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7400
DR. SCOTT ALAN GALE M.D.
Obstetrics & Gynecology
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7480

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 Federico Doctor's NPI number?

The NPI number for Federico Doctor is 1790846129. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Federico Doctor located?

Federico Doctor practices at 5342 Dudley Blvd, Mcclellan, CA 95652. The listed phone number is (916) 561-7400.

What is Federico Doctor's specialty?

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

Is Federico Doctor enrolled in Medicare?

Yes. Federico Doctor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Federico Doctor was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.