DR. PRUDENCIO GABRIEL SAMSON (NPI# 1013045863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013045863 |
| Entity Type | Individual |
| Full Name | DR. PRUDENCIO GABRIEL SAMSON |
| Other Name | GARY SAMSON |
| Credential | MD |
| Practice Address |
720 Sunrise Ave Ste 202c Roseville CA 95661-4509 |
| Practice Telephone | 5303412521 |
| Mailing Telephone | 8608810878 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2018-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
034209 | CT | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C53191 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
720 SUNRISE AVE STE 202C |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073006367 | Samson Psychiatry Inc. | Psychiatry & Neurology | 720 Sunrise Ave Ste 202c, Roseville, CA 95661-4509 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1679120836 | Anthony Kelada Psychiatry Inc | Psychiatry & Neurology | 991 Reserve Dr Ste B, Roseville, CA 95678-1350 | 2019-08-22 |
| 1467968537 | Horizon Treatment Center LLC | Psychiatry & Neurology | 3050 Courtside Dr, Roseville, CA 95661-7918 | 2017-12-27 |
| 1629483219 | Kamaldeep Sandhu | Psychiatry & Neurology | 910 Pleasant Grove Blvd Ste 120, Roseville, CA 95678 | 2014-06-23 |
| 1144520651 | Sabeena Acharya | Psychiatry & Neurology | 2510 Douglas Blvd, 300, Roseville, CA 95661-3300 | 2010-10-30 |
| 1164691325 | James R Richmond | Psychiatry & Neurology | 4025 Rose Creek Rd, Roseville, CA 95747-8608 | 2008-02-21 |
| 1154520708 | Julie Ann H. Phenco | Psychiatry & Neurology | 8775 Sierra College Blvd, Suite 200, Roseville, CA 95661-5923 | 2007-07-13 |
| 1972709798 | Muhammad Zafar Uddin | Psychiatry & Neurology | 3051 Jimmy Way, Roseville, CA 95747 | 2007-06-27 |
| 1710103106 | Mark David Levine, Md Roseville PC | Psychiatry & Neurology | 1420 Rocky Ridge Dr, 230, Roseville, CA 95661-2830 | 2007-04-17 |
| 1265585228 | Sharon Jean Myers | Psychiatry & Neurology | 17017 E 12 Mile Rd, Roseville, MI 48066-2595 | 2007-01-20 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.