ALWYN SAMSON
NPI 1962055400
Nurse Practitioner - Family in Panorama City, CA
About Alwyn Samson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALWYN SAMSON (NPI 1962055400) is an individual family provider in Panorama City, California, licensed in California (95011712) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alwyn Samson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alwyn Samson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 88 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 91402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alwyn Samson's NPI number?
The NPI number for Alwyn Samson is 1962055400. It was assigned to this individual provider in the NPPES registry on July 23, 2019.
Where is Alwyn Samson located?
Alwyn Samson practices at 14245 Dearborn St, Panorama City, CA 91402. The listed phone number is (213) 327-9848.
What is Alwyn Samson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alwyn Samson enrolled in Medicare?
Yes. Alwyn Samson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alwyn Samson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alwyn Samson reassigns Medicare benefits to Complete Care Community Health Center, Inc (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 Alwyn Samson'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 Alwyn Samson was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Alwyn Samson · NPI 1962055400
Family physician in Panorama City, California. Individual provider, active in the CMS NPPES registry since July 23, 2019.
## Identity
- **NPI:** 1962055400 (Entity type: Individual)
- **Enumerated:** July 23, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95011712 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 14245 DEARBORN ST, Panorama City, CA 91402-1917
- **Phone:** (213) 327-9848
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Complete Care Community Health Center, Inc (NPI 1215113964, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1962055400) · Data from the CMS NPPES public registry.