MAGED SAMAAN (DO) – Family Medicine Physician, NPI 1508856543

MAGED SAMAAN (DO) is a healthcare provider. based in Yucapa, California. specializing in FAMILY PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials DO. They hold a License No. 20A6584 (CA). The NPI Number for MAGED SAMAAN (DO) is 1508856543

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
MAGED SAMAAN (DO)
NPI
1508856543
Phone
(909) 795-9355
Address
34636 W COUNTY LINE RD
Enumeration Date
21 October 2005
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9097959355
Graduation Year
1992 (34 years ago)
PAC ID
0941104707
Professional Enrollment ID
I20120209000314
Address ID
CA923995393YU34636RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for MAGED SAMAAN (DO)

  • 34636 W COUNTY LINE RD

    STE 32

    YUCAPA, CA 92399

    Phone: (909) 795-9355

    Fax: (909) 795-9439

    Type: Location

  • PO BOX 668

    CHINO, CA 917080668

    Phone: (909) 795-9355

    Fax: (909) 795-9439

    Type: Mailing

  • 34636 COUNTY LINE RD STE 32

    YUCAIPA, CA 923995393

    Phone: (909) 795-9355

    Fax: (909) 795-9439

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120209000314IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92399)

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Reviews

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Frequently asked questions

What unique ID ties claims to MAGED SAMAAN (DO)?
NPI 1508856543 is assigned to MAGED SAMAAN (DO) under the national enumeration system.
Is MAGED SAMAAN (DO) currently active in the NPI registry?
CMS-published data lists MAGED SAMAAN (DO) as an active registrant.
What does MAGED SAMAAN (DO) treat or focus on?
Patients typically see MAGED SAMAAN (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MAGED SAMAAN (DO) practice in California?
You will see Yucapa, California on file for MAGED SAMAAN (DO) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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