Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295308831 Individual Practitioner Female Practitioner

Revai Nicole Samuel

Physician Assistant • Irvine, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Revai Samuel is a registered healthcare professional specializing in Physician Assistant in Irvine, CA. Official NPI practice address is registered at 14443 CULVER DR # 14443-A.

Practice Location & Contact Primary Location

Practice Address

14443 Culver Dr # 14443-A

Irvine, CA 926040343

Telephone 9497678173
Fax 8889721812
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Irvine, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.1 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
120 Specialists

Practicing in Irvine, CA (14617 Statewide)

Telehealth Adoption Rate
20.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 62641

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Secondary Practice Locations

1608 S J St Fl 5

Tacoma, WA 984054930

Phone: 2532747505

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kelsey Chan , PA

Physician Assistant

NPI 1003284811

Physician Assistant

Jeremi John Piamonte , NP

Nurse Practitioner - Family

NPI 1275196081

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 16, 2024

Registered at 14443 CULVER DR # 14443-A, IRVINE, CA 926040343 (Tel: 9497678173)

📍
Updated Business Mailing Address August 16, 2024

Registered at 2920 TELEGRAPH AVE STE 100, BERKELEY, CA 947052031

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2024

Physician Assistant

NPI Profile Active July 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2021

Registered at 1608 S J ST FL 5, TACOMA, WA 984054930 (Tel: 2532747505)

📍
Updated Business Mailing Address July 21, 2021

Registered at 4275 S PINE ST APT A506, TACOMA, WA 984096575 (Tel: 9095092663)

👤
Provider Name / Credentials Updated July 21, 2021

Recorded as REVAI SAMUEL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295308831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2021
Last Update: August 16, 2024
Sole Proprietor: No

Mailing Address

2920 Telegraph Ave Ste 100

Berkeley, CA 947052031

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.