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SAMIYYAH TILLMAN
NPI 1891432241
Family Medicine in Oakland, CA

Active since May 17, 2022PECOS Enrolled
2950 INTERNATIONAL BLVD, OAKLAND, CA 94601(510) 535-4410 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2026, Feb 8, 2026, May 17, 2022 (3 updates tracked since 2022).

About Samiyyah Tillman NPPES

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

SAMIYYAH TILLMAN (NPI 1891432241) is an individual family medicine provider in Oakland, California, licensed in California (20A22600) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891432241
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMIYYAH TILLMAN
Location Address2950 INTERNATIONAL BLVDOakland, CA 94601-2228
Mailing Address2950 International BlvdOakland, CA 94601-2228
Phone(510) 535-4410
Sole ProprietorNo
Enumeration DateMay 17, 2022
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1891432241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A22600
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.
2950 INTERNATIONAL BLVD, Oakland, CA 94601
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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)

Samiyyah Tillman 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 94601 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

KATHY TUTINO
Dental Hygienist
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4450
COLLEEN MCCULLOUGH FNP
Nurse Practitioner (Family)
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4400
HEIDY SOFIA RAMOS FERNANDEZ RN
Registered Nurse
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 434-5300
SARAH GILSTRAP
Registered Nurse
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4410
CASEY JAKE SMITH
Internal Medicine
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (505) 862-2029
SIMONE MARIE GARRIGUES M.A., L.C.S.W.
Social Worker (Clinical)
2950 INTERNATIONAL BLVD, NATIVE AMERICAN HEALTH CENTER
OAKLAND, CA 94601
Alameda County (510) 535-4400
CRYSTAL HUANG MD
Family Medicine
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4400
KYOUNG WON HAN DDS
Dentist
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 485-5925

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 Samiyyah Tillman's NPI number?

The NPI number for Samiyyah Tillman is 1891432241. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Samiyyah Tillman located?

Samiyyah Tillman practices at 2950 International Blvd, Oakland, CA 94601. The listed phone number is (510) 535-4410.

What is Samiyyah Tillman's specialty?

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

Is Samiyyah Tillman enrolled in Medicare?

Yes. Samiyyah Tillman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samiyyah Tillman was last updated on May 20, 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.