Doctor profile · Federal record
Dr. Momona Samuel
Family Nurse Practitioner (CMS: Nurse Practitioner) · Family Nurse Practitioner · Los Angeles, CA
- NPI 1124793419
- Accepts Medicare
- 6 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
808 W 58Th St
Los Angeles, CA 900373632
(323) 541-1600 - Mailing address
-
4619 S Orcas St
Seattle, WA 981182432
Credentials & registration
- NPI registered
- August 2021 — 5 yrs on file
- Profile last updated
- August 31, 2021
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (2)
- California #95018215 · Washington #AP61155406
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124793419. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$244
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 2 | $243.74 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
142
Patients
17
Total drug cost
$2,683
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 27 | 17 | $655 |
| Lisinopril | Generic | 23 | 0 | $370 |
| Metformin Hcl | Generic | 20 | 0 | $405 |
| Fluticasone Propionate | Generic | 18 | 0 | $331 |
| Amlodipine Besylate | Generic | 14 | 0 | $272 |
| Ibuprofen | Generic | 14 | 0 | $274 |
| Finasteride | Generic | 13 | 0 | $124 |
| Glipizide | Generic | 13 | 0 | $253 |
Frequently asked questions
What is Dr. Momona Samuel's medical specialty?
Dr. Momona Samuel practices Family Nurse Practitioner in Los Angeles, CA.
Where does Dr. Momona Samuel practice?
Dr. Momona Samuel practices at 808 W 58Th St, Los Angeles, CA 900373632. Office phone: 3235411600.
What is Dr. Momona Samuel's NPI?
Dr. Momona Samuel's National Provider Identifier (NPI) is 1124793419, issued by NPPES.
Does Dr. Momona Samuel accept Medicare assignment?
Yes. Dr. Momona Samuel accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.