Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lysa Samuel, PA

Individual provider Medical Physician Assistant · NPI 1174737423

Lysa Samuel, PA is a Physician Assistant in Oakland, California. Qualified in 2001, 25 years ago. Practices with Alameda Health System, a 601-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
25
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3100 Telegraph Ave #2109 East Bay Family Practice Medical Group Inc
Oakland, CA 94609
Phone: (510) 645-9900
Fax: (510) 645-9919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA16296

Record details

NPI number1174737423
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Alameda Health System — 601 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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