SAMEEN ANSARI MD
NPI 1629650973
Student in an Organized Health Care Education/Training Program in Harbor City, CA

NPI Status: Active since April 26, 2021

Contact Information

1403 LOMITA BLVD
HARBOR CITY, CA
ZIP 90710
Phone: (310) 602-2550
Fax: (310) 326-7205

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  • Individual
  • Female
  • Years of Experience 5
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SAMEEN ANSARI

This page provides the complete NPI Profile along with additional information for Sameen Ansari, a primary care provider established in Harbor City, California with a medical specialization in Student In An Organized Health Care Education/training Program and more than 5 years of experience. She graduated from Oakland Univ, William Beaumont School Of Medicine in 2021. The healthcare provider is registered in the NPI registry with number 1629650973 assigned on April 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1629650973
Provider Name
SAMEEN ANSARI MD
Gender
Female
Entity Type
Individual
Location Address
1403 LOMITA BLVD HARBOR CITY, CA 90710
Location Phone
(310) 602-2550
Location Fax
(310) 326-7205
Mailing Address
1403 LOMITA BLVD HARBOR CITY, CA 90710
Mailing Phone
(310) 602-2550
Mailing Fax
(310) 326-7205
Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
04-26-2021
Last Update Date
04-26-2021
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A primary care provider (PCP) like Sameen Ansari sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Sameen Ansari is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Sameen Ansari is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3779015201

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241022001877

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629650973
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26491250914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 1 + 2 + 5 + 0 + 9 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1629650973 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023077492 ANGELITA DOMINGO BUENO NP
Individual
Nurse Practitioner (Women's Health)1403 LOMITA BLVD
HARBOR CITY, CA 90710
(310) 784-5800
1518038876 NATALIEANN COSTANZO N.P
Individual
Registered Nurse1403 LOMITA BLVD SUITE 100
HARBOR CITY, CA 90710
(310) 784-5800
1528275310DR. GIA HUMELBAUGH M.D.
Individual
Family Medicine1403 LOMITA BLVD 2ND FLOOR, FAMILY MEDICINE CLINIC
HARBOR CITY, CA 90710
(310) 534-7600
1386823722 JIAN ZHANG L.AC
Individual
Acupuncturist1403 LOMITA BLVD 303B
HARBOR CITY, CA 90710
(310) 257-8566
1669623245 SUZANNE LEE CYRIL RN, FNP
Individual
Nurse Practitioner (Family)1403 LOMITA BLVD STE 100
HARBOR CITY, CA 90710
(310) 784-5800
1457582439DR. KAREN ELISA MILIAN OLMOS M.D., M.P.H.
Individual
Family Medicine1403 LOMITA BLVD SUITE 102
HARBOR CITY, CA 90710
(310) 534-7600
1982036059 MARIE LYNN DAVIES PHARMD
Individual
Pharmacist1403 LOMITA BLVD
HARBOR CITY, CA 90710
(909) 469-8456
1255696100DR. MANUEL DIEGO CAMPA M.D.
Individual
Family Medicine1403 LOMITA BLVD SUITE 200
HARBOR CITY, CA 90710
(310) 534-7600
1609216100 REBECCA COHEN MD, MPH
Individual
Family Medicine1403 LOMITA BLVD SUITE 200
HARBOR CITY, CA 90710
(310) 534-7600
1194189464DR. LUCIA A MUNOZ M.D.
Individual
Student in an Organized Health Care Education/Training Program1403 LOMITA BLVD SUITE102
HARBOR CITY, CA 90710
(310) 534-7600
1104200922DR. KEITH WONG M.D., M.S
Individual
Family Medicine1403 LOMITA BLVD SUITE 100
HARBOR CITY, CA 90710
(310) 534-7600
1194288852COUNTY OF LOS ANGELES - AUDITOR CONTROLLER
Organization
Clinic/Center1403 LOMITA BLVD SUITE 102, ROOMS 1-26 & CONFERENCE ROOM
HARBOR CITY, CA 90710
(310) 534-6221
1750721551DR. ROSE OCHIENG M.D
Individual
Student in an Organized Health Care Education/Training Program1403 LOMITA BLVD SUITE 200
HARBOR CITY, CA 90710
(310) 534-7600
1306229844DR. JASON PAUL ALVARADO M.D.
Individual
Family Medicine (Sports Medicine)1403 LOMITA BLVD SUITE 100
HARBOR CITY, CA 90710
(310) 534-7600
1912313438DR. FATHIMA SARAH NAZARKHAN M.D.
Individual
Family Medicine1403 LOMITA BLVD
HARBOR CITY, CA 90710
(310) 534-6221
1154856649DR. JOANNE JEEYOUNG CHO MD
Individual
Family Medicine1403 LOMITA BLVD SUITE 200
HARBOR CITY, CA 90710
(310) 534-7600
1336122670PEREGRINE HOSPICE, INC.
Organization
Hospice Care, Community Based1403 LOMITA BLVD SUITE 301
HARBOR CITY, CA 90710
(310) 539-9028
1881783462PACIFIC BAY MEDICAL GROUP
Organization
Family Medicine1403 LOMITA BLVD SUITE 304
HARBOR CITY, CA 90710
(310) 517-1828
1548487143WOMEN AND CHILDREN'S CLINIC OF LITTLE COMPANY OF MARY
Organization
Obstetrics & Gynecology (Maternal & Fetal Medicine)1403 LOMITA BLVD STE 100
HARBOR CITY, CA 90710
(310) 784-5800
1770613531 KATRINE MOREALE MD
Individual
Family Medicine1403 LOMITA BLVD 2ND FLOOR
HARBOR CITY, CA 90710
(310) 257-4991

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629650973, enumerated in the NPI registry as an "individual" on April 26, 2021

The provider is located at 1403 Lomita Blvd Harbor City, Ca 90710 and the phone number is (310) 602-2550

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 5 years of experience. She graduated from Oakland Univ, William Beaumont School Of Medicine in 2021.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on April 26, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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