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

Samuel O Etchie, MD

Individual provider Psychiatry Physician · NPI 1124039052

Samuel O Etchie, MD is a Psychiatry in LA Mesa, California. Qualified in 1982, 44 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
44
Licensed in
CA
In the registry since
2006
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

7200 Parkway Dr Ste 113
LA Mesa, CA 91942-1534
Phone: (619) 337-0455
Fax: (619) 667-6059
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A53857 (CA)

Record details

NPI number1124039052
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESAugust 23, 2018
Mailing address7770 Regents Rd, 130, San Diego, CA 92122-1937

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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