Healthcare Provider Details

I. General information

NPI: 1932842648
Provider Name (Legal Business Name): SAMIKSHA ANNIRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 CUYAMACA ST
SANTEE CA
92071-4253
US

IV. Provider business mailing address

8701 CUYAMACA ST
SANTEE CA
92071-4253
US

V. Phone/Fax

Practice location:
  • Phone: 858-499-2600
  • Fax:
Mailing address:
  • Phone: 858-499-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number204076
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: