Samantha Hietalati, MD
NPI 1245617489 · Neonatal-Perinatal Medicine Physician · San Diego, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Hietalati, MD is a Neonatal-Perinatal Medicine Physician provider in San Diego, CA (NPI 1245617489).
Provider details
- NPI number
- 1245617489
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A162427 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 3750 Convoy St Ste 312San Diego, CA 92111-3741Phone: (800) 926-8273Fax: (888) 539-8781
- 200 W Arbor DrSan Diego, CA 92103-9000Phone: (800) 926-8273Fax: (888) 539-8781
Registry dates
- Enumerated
- 2015-04-27
- Last updated
- 2024-10-24
- Certified
- 2024-10-24
Frequently asked questions
- What is Samantha Hietalati's NPI number?
- Samantha Hietalati's National Provider Identifier (NPI) is 1245617489, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Hietalati's specialty?
- Samantha Hietalati is listed in the NPPES registry with a primary specialty of Neonatal-Perinatal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Samantha Hietalati located?
- Samantha Hietalati's practice location on file with NPPES is 3010 Childrens Way, San Diego, CA 92123-4223.
- What is Samantha Hietalati's phone number?
- The practice phone number listed in the NPPES registry for Samantha Hietalati is (858) 966-5818.
- Does Samantha Hietalati accept Medicare?
- Samantha Hietalati is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Hietalati's NPI active?
- Yes — Samantha Hietalati's NPI (1245617489) is active in the NPPES registry as of the last update on 2024-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.