SUJA SAMUEL (NPI# 1417329947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417329947 |
| Entity Type | Individual |
| Full Name | SUJA SAMUEL |
| Practice Address |
597 Center Avenue, Suite 200-a Martinez CA 94553 |
| Mailing Address |
P.o.box 4738 Antioch CA 94531 |
| Practice Telephone | 9253136740 |
| Mailing Telephone | 4054363557 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
666581 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER'S LICENSE | F3305375 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497121206 | Suja Samuel | Pharmacist | 2154 Hacienda Ter, Weston, FL 33327-2237 | 2015-08-15 |
| Street Address |
597 CENTER AVENUE, SUITE 200-A |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1184008898 | Stephen Edward Burgstaller | Dentist | 218 Center Ave., Pacheco, CA 94553 | 2015-07-13 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285092148 | Kathryn Dimaggio | Registered Nurse | 597 Center Ave Ste 110, Martinez, CA 94553-4669 | 2016-02-08 |
| 1013197425 | Anne Hoff | Registered Nurse | 597 Center Ave Ste 200-a, Martinez, CA 94553-4640 | 2007-11-14 |
| 1477537686 | Susan Atkins | Registered Nurse | 597 Center Ave, Martinez, CA 94553-4640 | 2005-12-01 |
| 1205358728 | Nancy Oliveros | Registered Nurse | 597 Center Ave Ste 150, Martinez, CA 94553-4674 | 2017-07-17 |
| 1144757741 | Eleanor Pullin | Registered Nurse | 597 Center Ave Ste 150, Martinez, CA 94553-4674 | 2017-05-15 |
| 1376079418 | Elizabeth Peters | Registered Nurse | 597 Center Ave, Martinez, CA 94553-4640 | 2017-05-11 |
| 1881134435 | Michelle Sharman | Registered Nurse | 597 Center Ave Ste 150, Martinez, CA 94553-4674 | 2017-03-01 |
| 1073961090 | Lynette Haynes | Registered Nurse | 597 Center Ave, Martinez, CA 94553-4640 | 2016-05-31 |
| 1356711352 | Anthionette Kamara | Registered Nurse | 597 Center Ave, Martinez, CA 94553-4640 | 2015-10-02 |
| 1053790261 | Colleen Hoehn | Registered Nurse | 597 Center Ave, Suite 200, Martinez, CA 94553-4640 | 2015-05-20 |
| Find all providers in MARTINEZ | ||||
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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.