SAMUEL MINGO MD
NPI 1922758648
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Samuel Mingo's NPI number?

The NPI number for Samuel Mingo is 1922758648. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Samuel Mingo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Mingo was last updated on March 28, 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.

Active since March 25, 2022PECOS Enrolled

880 W 1ST ST APT 213, LOS ANGELES, CA 90012(832) 452-2984 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Samuel Mingo Md NPPES

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

SAMUEL MINGO MD (NPI 1922758648) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922758648

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL MINGOCredential: MD

Location Address880 W 1ST ST APT 213Los Angeles, CA 90012-2417

Mailing Address880 W 1st St Apt 213Los Angeles, CA 90012-2417 · (832) 452-2984

Phone(832) 452-2984

Sole ProprietorNo

Enumeration DateMarch 25, 2022

Last NPPES UpdateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1922758648 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.

880 W 1ST ST APT 213, Los Angeles, CA 90012

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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)

Samuel Mingo Md 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 Samuel Mingo's NPI number?

The NPI number for Samuel Mingo is 1922758648. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Samuel Mingo located?

Samuel Mingo practices at 880 W 1st St Apt 213, Los Angeles, CA 90012. The listed phone number is (832) 452-2984.

What is Samuel Mingo's specialty?

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

Is Samuel Mingo enrolled in Medicare?

Yes. Samuel Mingo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Mingo was last updated on March 28, 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.