Christojohn Samuel, MD is a medicare enrolled "Surgery" physician in San Fernando, California. His current practice location is
418 San Fernando Mission Blvd, San Fernando, California. You can reach out to his office (for appointments etc.) via phone at
(818) 365-1668.
Christojohn Samuel is licensed to practice in California (license number C42242) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134129828.
Physician's Profile
Full Name | Christojohn Samuel |
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Gender | Male |
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Speciality | Surgery |
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Location | 418 San Fernando Mission Blvd, San Fernando, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134129828
- Provider Enumeration Date: 07/26/2005
- Last Update Date: 02/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799718615
- Enrollment ID: I20050912001260
Medical Identifiers
Medical identifiers for Christojohn Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134129828 | NPI | - | NPPES |
00C422420 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | C42242 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christojohn Samuel is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christojohn Samuel, MD Po Box 950186, Mission Hills, CA 91395-0186 Ph: (818) 365-1668 | Christojohn Samuel, MD 418 San Fernando Mission Blvd, San Fernando, CA 91340-3530 Ph: (818) 365-1668 |
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