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SAMANTHA BAZZI DO
NPI 1912643156
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since May 10, 2022PECOS Enrolled
300 W BEECH ST UNIT 1708, SAN DIEGO, CA 92101(619) 490-9941 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Bazzi Do NPPES

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

SAMANTHA BAZZI DO (NPI 1912643156) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912643156
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA BAZZICredential: DO
Location Address300 W BEECH ST UNIT 1708San Diego, CA 92101-8451
Mailing Address300 W Beech St Unit 1708San Diego, CA 92101-8451 · (619) 490-9941
Phone(619) 490-9941
Sole ProprietorYes
Enumeration DateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1912643156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 W BEECH ST UNIT 1708, San Diego, CA 92101
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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)

Samantha Bazzi Do 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.

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 Samantha Bazzi's NPI number?

The NPI number for Samantha Bazzi is 1912643156. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Samantha Bazzi located?

Samantha Bazzi practices at 300 W Beech St Unit 1708, San Diego, CA 92101. The listed phone number is (619) 490-9941.

What is Samantha Bazzi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Bazzi enrolled in Medicare?

Yes. Samantha Bazzi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Bazzi was last updated on May 10, 2022. 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.