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

Reta Samimi, PA-C

Individual provider Physician Assistant · NPI 1790322253

Reta Samimi, PA-C is a Physician Assistant in Livermore, California. Qualified in 2019, 7 years ago. Practices with University Healthcare Alliance, a 332-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1133 E Stanley Blvd Ste 101
Livermore, CA 94550-4270
Phone: (925) 454-4280
Fax: (925) 454-4284
Show map & directions

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

Additional practice locations (1)

  • 5343 Prospect Rd, San Jose, CA 95129-5033 — (800) 972-5547

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 57980 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1790322253
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2019
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address1133 E Stanley Blvd Ste 101, Livermore, CA 94550-4270

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Healthcare Alliance — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Livermore