SAMANTA M BOSTIC (NPI# 1578751137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578751137 |
| Entity Type | Individual |
| Full Name | SAMANTA M BOSTIC |
| Practice Address |
5880 W Las Positas Blvd Ste 31 Pleasanton CA 94588-8552 |
| Practice Telephone | 9257340344 |
| Mailing Telephone | 9257340344 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5880 W LAS POSITAS BLVD STE 31 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-8552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740478304 | William A Braun | Prosthetist | 5880 W Las Positas Blvd Ste 31, Pleasanton, CA 94588-8552 | 2007-10-09 |
| 1649468208 | Linwood D Spears | Orthotic Fitter | 5880 W Las Positas Blvd Ste 31, Pleasanton, CA 94588-8552 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518156306 | Leslie Ann Cole | Orthotic Fitter | 4479 Stoneridge Dr, Suite A, Pleasanton, CA 94588-8448 | 2007-10-17 |
| 1649468208 | Linwood D Spears | Orthotic Fitter | 5880 W Las Positas Blvd Ste 31, Pleasanton, CA 94588-8552 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547474 | June Sean | Orthotic Fitter | 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 | 2019-09-16 |
| 1265930903 | Advanced Therapy Center | Orthotic Fitter | 3475 Torrance Blvd Ste B2, Torrance, CA 90503-5800 | 2018-01-29 |
| 1740796754 | Vincent Leonard Reeves | Orthotic Fitter | 1815 Orange St, National City, CA 91950-6127 | 2017-12-28 |
| 1801244389 | Colleen Wendtland | Orthotic Fitter | 1468 Pepper Ln, Banning, CA 92220-1469 | 2016-05-25 |
| 1336487263 | Covenant Billing Services, Inc | Orthotic Fitter | 5817 Pine Ave, Suite B, Chino Hills, CA 91709-6533 | 2013-01-28 |
| 1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
| 1659602423 | Suzanne Pilegaard | Orthotic Fitter | 101 Wikup Drive, Suite C, Santa Rosa, CA 95403-1375 | 2010-01-19 |
| 1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
| 1467683805 | Abelardo Ramos | Orthotic Fitter | 227 E Chapman Ave, Suite A, Orange, CA 92866-1534 | 2009-08-03 |
| 1982871166 | Healing Hands Rehab Inc | Orthotic Fitter | 23586 Calabasas Rd Ste 206, Calabasas, CA 91302-1330 | 2008-05-15 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
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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.