Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Prudencio Gabriel Samson, MD

Individual provider Psychiatry Physician · NPI 1013045863

Dr. Prudencio Gabriel Samson, MD is a Psychiatry in Roseville, California. Qualified in 1987, 39 years ago. Practices with Wellspace Health, a 29-clinician group and accepts Medicare assignment. Licensed in California and Connecticut.

Years since qualifying
39
Licensed in
CA, CT
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

720 Sunrise Ave Ste 202C
Roseville, CA 95661-4509
Phone: (530) 341-2521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence C53191 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 034209 (CT)

Record details

NPI number1013045863
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 2, 2007
Last updated in NPPESJanuary 23, 2018
Mailing address720 Sunrise Ave Ste 202c, Roseville, CA 95661-4509

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Wellspace Health — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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