MRS. SAMANTHA WILHELM (NPI# 1417370685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417370685 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA WILHELM |
| Other Name | SAMANTHA EASLER |
| Credential | MS, PA-C |
| Practice Address |
4560 Admiralty Way Ste 105 Marina Del Rey CA 90292-5424 |
| Practice Telephone | 3106945255 |
| Practice Fax Number | 3103065555 |
| Mailing Telephone | 3106945255 |
| Mailing Fax Number | 3103065555 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4560 ADMIRALTY WAY STE 105 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578827077 | Hope Marian Vermaire | Obstetrics & Gynecology | 4560 Admiralty Way Ste 105, Marina Del Rey, CA 90292-5424 | 2012-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790134138 | Carolina Colette Dickson | Physician Assistant | 4750 Lincoln Blvd Apt 183, Marina Del Rey, CA 90292-6982 | 2016-06-07 |
| 1205964020 | Carla N Crespo | Physician Assistant | 4640 Admiralty Way Ste 1000, Marina Del Rey, CA 90292-6672 | 2007-03-01 |
| 1073984506 | Generation Medical Services, A Med Corp | Physician Assistant | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2015-10-09 |
| 1104295278 | Matthew James Cunningham | Physician Assistant | 4644 Lincoln Blvd, Marina Del Rey, CA 90292-6313 | 2015-09-18 |
| 1215329370 | Holley Alexander Spears | Physician Assistant | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6393 | 2015-02-26 |
| 1801202692 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2014-07-01 |
| 1528471174 | Madeleine Vonderschmidt | Physician Assistant | 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 | 2014-06-10 |
| 1346548690 | Layla Nina Sotoodeh | Physician Assistant | 13160 Mindanao Way, Suite 300, Marina Del Rey, CA 90292-6358 | 2011-03-10 |
| 1912035080 | Cornelia Christine Felber | Physician Assistant | 4644 Lincoln Blvd, Suite 552, Marina Del Rey, CA 90292-6313 | 2007-03-01 |
| 1649362955 | Megan Anne Hesser | Physician Assistant | 13160 Mindanao Way, Suite 300, Marina Del Rey, CA 90292-6358 | 2006-09-28 |
| Find all providers in MARINA DEL REY | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
Please comment or provide details below to improve the information on MRS. SAMANTHA WILHELM.
| 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.