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

Mr. Richard Gabriel Samedra, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093561904

Mr. Richard Gabriel Samedra, PMHNP-BC is a Nurse Practitioner in Anaheim, California. Qualified in 2024, 2 years ago. Practices with Coast Medical P C, an 8-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1720 W Ball Rd Ste 4C
Anaheim, CA 92804-5591
Phone: (714) 683-1472
Fax: (714) 683-1473
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 123 Orange Grove Ave, Placentia, CA 92870-4848 — (949) 566-4308

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95030301 (CA)

Record details

NPI number1093561904
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedApril 30, 2024
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Coast Medical P C — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Anaheim