VISHAL SAMBOJU DO
NPI 1861089815
Psychiatry & Neurology - Neurology in Los Angeles, CA

Active since December 23, 2020PECOS EnrolledAccepts Medicare Assignment
127 S SAN VICENTE BLVD FL 6, LOS ANGELES, CA 90048(310) 423-8100(310) 967-8696 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2022, Dec 23, 2020 (2 updates tracked since 2020).

About Vishal Samboju Do NPPES

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

VISHAL SAMBOJU DO (NPI 1861089815) is an individual neurology provider in Los Angeles, California, licensed in California (20A21763) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Clackamas, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2022).

NPPES Registry Identity

NPI1861089815
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameVISHAL SAMBOJUCredential: DO
Location Address127 S SAN VICENTE BLVD FL 6Los Angeles, CA 90048-3311
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Fax(310) 967-8696
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2022
Enumeration DateDecember 23, 2020
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1861089815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · 20A21763
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
127 S SAN VICENTE BLVD FL 6, Los Angeles, CA 90048

Secondary Practice Location 1

Location 110180 SE Sunnyside RdClackamas, OR 97015-8970 · Phone (503) 571-2880 · Fax (503) 571-2671

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

Vishal Samboju Do 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 ID1254899016
PECOS Enrollment IDI20260821002020
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 Vishal Samboju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
8700 BEVERLY BLVD
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 1,001 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

Nurse Practitioner (Acute Care)
127 S SAN VICENTE BLVD FL 6
LOS ANGELES, CA 90048

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 Vishal Samboju's NPI number?

The NPI number for Vishal Samboju is 1861089815. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Where is Vishal Samboju located?

Vishal Samboju practices at 127 S San Vicente Blvd Fl 6, Los Angeles, CA 90048. The listed phone number is (310) 423-8100.

What is Vishal Samboju's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Vishal Samboju enrolled in Medicare?

Yes. Vishal Samboju 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 organization bills Medicare for Vishal Samboju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vishal Samboju reassigns Medicare benefits to Cedars-Sinai Medical Center (Los Angeles, CA). The 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 Vishal Samboju'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 Vishal Samboju was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.