Mr Kevin Scott Sampana De Leon, CRNA - Medicare Nurse Anesthetist, Certified Registered in Los Angeles, CA

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Mr Kevin Scott Sampana De Leon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Los Angeles, California. His current practice location is 6041 Cadillac Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (833) 574-2273.

Mr Kevin Scott Sampana De Leon is licensed to practice in California (license number 113879) 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 1750800652.

Contact Information

Mr Kevin Scott Sampana De Leon, CRNA
6041 Cadillac Ave,
Los Angeles, CA 90034-1702
(833) 574-2273
Not Available

Map and Direction




Provider's Profile

Full NameMr Kevin Scott Sampana De Leon
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location6041 Cadillac Ave, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750800652
  • Provider Enumeration Date: 09/12/2017
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7113285438
  • Enrollment ID: I20171214001488

Medical Identifiers

Medical identifiers for Mr Kevin Scott Sampana De Leon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750800652NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 826602 (California)Secondary
367500000XNurse Anesthetist, Certified Registered 113879 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kevin Scott Sampana De Leon allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NamePacific Valley Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851312862
PECOS PAC ID: 3577465368
Enrollment ID: O20040122000762
Entity NameSamaritan Anesthesiology Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982792743
PECOS PAC ID: 1456351824
Enrollment ID: O20070109000166
Entity NameAmsurg Arcadia Anesthesia Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114291226
PECOS PAC ID: 7214199850
Enrollment ID: O20120427000249
Entity NameAnesthesia On Demand - A Professional Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003485384
PECOS PAC ID: 1850780206
Enrollment ID: O20211105001178
Entity NameJp Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609590926
PECOS PAC ID: 1759750193
Enrollment ID: O20221207001703

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. Mr Kevin Scott Sampana De Leon 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 AddressPractice Location Address
Mr Kevin Scott Sampana De Leon, CRNA
3758 Bresee Ave,
Baldwin Park, CA 91706-4118

Ph: (626) 646-8928		Mr Kevin Scott Sampana De Leon, CRNA
6041 Cadillac Ave,
Los Angeles, CA 90034-1702

Ph: (833) 574-2273

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.