PHILIP MERRILL SAMPSON (NPI# 1508974213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508974213 |
| Entity Type | Individual |
| Full Name | PHILIP MERRILL SAMPSON |
| Credential | PA-C |
| Practice Address |
1140 Main St Livingston CA 95334-1257 |
| Practice Telephone | 2093947913 |
| Practice Fax Number | 2093949093 |
| Mailing Telephone | 2093947913 |
| Mailing Fax Number | 2093949093 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 14693 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA14693 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA14693 | 05 |
| Street Address |
1140 MAIN ST |
| City | LIVINGSTON |
| State | CA |
| Zip Code | 95334-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780611509 | Ofelia G Ortiz | Specialist | 1140 Main St, Livingston, CA 95334 | 2006-06-27 |
| 1528532926 | Rosa Maria Pavey | Licensed Vocational Nurse | 1140 Main St, Livingston, CA 95334-1257 | 2019-01-18 |
| 1174097570 | Liliana Zaragoza | Health Educator | 1140 Main St, Livingston, CA 95334-1257 | 2019-01-18 |
| 1154895589 | Ivan M Prado | Health Educator | 1140 Main St, Livingston, CA 95334-1257 | 2019-01-18 |
| 1437621315 | Rebeca Mendez | Dental Hygienist | 1140 Main St, Livingston, CA 95334-1257 | 2018-12-17 |
| 1639663248 | Amandeep Kaur Johal | Registered Nurse | 1140 Main St, Livingston, CA 95334 | 2018-06-18 |
| 1528559515 | Priyanka Bassi | Dental Hygienist | 1140 Main St, Livingston, CA 95334-1257 | 2018-05-24 |
| 1083147730 | Stephanie Holmes | Nurse Practitioner | 1140 Main St, Livingston, CA 95334-1257 | 2017-04-10 |
| 1730557596 | Melinda Edmondson | Nurse Practitioner | 1140 Main St, Livingston, CA 95334-1257 | 2015-09-10 |
| 1154717213 | Rohit Arora | Internal Medicine | 1140 Main St, Livingston, CA 95334 | 2015-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311941 | Kevin Maurice Mcgauley | Nurse Practitioner | Livingston Community Health, 1140 Main Street, Livingston, CA 95334 | 2018-09-28 |
| 1225568801 | Jetinder Singh | Licensed Vocational Nurse | 1820 Sun Valley Ave, Livingston, CA 95334 | 2017-06-15 |
| 1114318821 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 474 Winton Pkwy, Livingston, CA 95334 | 2015-02-17 |
| 1780015677 | Mark Kallini | Community Health Worker | 1201 Campbell Boulevard, Livingston, CA - CALIFORNIA 95334 | 2013-12-03 |
| 1508340613 | Nareeta Sharma | Pharmacist | 500 Main St, Livingston, CA 95334 | 2018-09-24 |
| 1548790314 | Lakhbir Bikramjit Singh Sodhi | Nurse Practitioner | 2275 F St Ste 1&2, Livingston, CA 95334 | 2017-06-14 |
| 1154529949 | Jeffrey Michael Carter | Dentist | 1112 Main St, Livingston, CA 95334 | 2007-07-03 |
| 1043417090 | Sirina S Aguilar | Dentist | 1112 Main Street, Livington, CA 95334 | 2007-07-02 |
| 1629192307 | Livingston Union Elementary | Local Education Agency (LEA) | 922 B St, Livingston, CA 95334-1150 | 2007-03-19 |
| 1770747545 | Ruth Elizabeth Cabral-teixeira | Dentist | 1112 Main St, Livingston, CA 95334-1213 | 2008-07-10 |
| Find all providers in zip 95334 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396726196 | David Evan Mittman | Physician Assistant | 87 N Hillside Ave, Livingston, NJ 07039-1117 | 2005-11-08 |
| 1457870248 | Nicolette Julson | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2017-09-13 |
| 1285182766 | Sam Crowning | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2016-09-14 |
| 1922458991 | Merlynette Sabalvaro | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2016-06-20 |
| 1487028312 | Siobhan Conley | Physician Assistant | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2015-11-16 |
| 1427438860 | Davya Cummings-newby | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2015-06-01 |
| 1841578945 | Dana Deoliveira Debari | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2011-07-25 |
| 1720382922 | Gerald Mark Henderson | Physician Assistant | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2011-01-03 |
| 1124220306 | Louis Irvin Ambeaux Jr. | Physician Assistant | 604 S Washington Ave, Livingston, TX 77351-3451 | 2007-06-01 |
| 1790819605 | Jamie Arango | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2007-03-15 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 95334 |
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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.