SAM (NONE) SAFAEE (NPI# 1609172030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609172030 |
| Entity Type | Individual |
| Full Name | SAM (NONE) SAFAEE |
| Credential | PA-C |
| Practice Address |
135 Carmen Ln Santa Maria CA 93458-7729 |
| Practice Telephone | 8059287361 |
| Practice Fax Number | 8059285742 |
| Mailing Telephone | 8059287361 |
| Mailing Fax Number | 8059285742 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2012-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21412 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CAQH PROVIDER NUMBER | 12317742 | 01 |
| CA | PHYSICIAN ASSISTANT COMMITTEE LICENSE | PA21412 | 01 |
| Street Address |
135 CARMEN LN |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-7729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799704 | Francis P Lagattuta | Physical Medicine & Rehabilitation | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2005-09-07 |
| 1922582832 | Anna Jadwiga Hadilaksono | Nurse Practitioner | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2018-09-18 |
| 1205225174 | Matthew Hadilaksono | Physical Medicine & Rehabilitation | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2015-01-15 |
| 1508299942 | Leoncio Paciente Yap | Nurse Practitioner | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2013-08-20 |
| 1659691897 | Kendra Brown-walker | Physical Medicine & Rehabilitation | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2010-06-10 |
| 1184958837 | Beth A Brown | Physician Assistant | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2009-09-29 |
| 1982846770 | Jody Michelle Jensen | Physician Assistant | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2009-03-25 |
| 1851550404 | Winston F Montero | Physical Medicine & Rehabilitation | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2008-06-08 |
| 1669640827 | Leah Ann Clarke | Physician Assistant | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2008-02-11 |
| 1346376183 | Julie Leanore Bruns | Physical Therapist | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| Find all providers in zip 93458 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669914065 | Rachel Ourieff | Physician Assistant | 340 E Betteravia Rd, #c, Santa Maria, CA 93454-7847 | 2016-11-16 |
| 1972900561 | Diana Agraz | Physician Assistant | 116 S Palisade Dr, Suite 110, Santa Maria, CA 93454-8904 | 2014-11-25 |
| 1245637123 | Urology Associates of San Luis Obispo | Physician Assistant | 116 S Palisade Dr, Suite 110, Santa Maria, CA 93454-8904 | 2014-11-20 |
| 1740684406 | Holly D Ernst | Physician Assistant | 220 S Palisade Dr Ste 203, Santa Maria, CA 93454 | 2014-10-09 |
| 1649685280 | Joseph Ricci | Physician Assistant | 1400 E Church St, Santa Maria, CA 93454-5906 | 2014-06-23 |
| 1902181159 | Abigail Jane Kraemer-cole | Physician Assistant | 2271 S. Depot Street, Santa Maria, CA 93455 | 2011-10-19 |
| 1184958837 | Beth A Brown | Physician Assistant | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2009-09-29 |
| 1124267141 | Priscilla Mcgee | Physician Assistant | 525 E Plaza Dr, Suite 300, Santa Maria, CA 93454-6953 | 2009-02-14 |
| 1154459774 | Dianne Marie Dawes | Physician Assistant | 2342 Professional Pkwy, Suite 310, Santa Maria, CA 93455-1629 | 2007-03-02 |
| 1851480057 | Cristine A Fernandez | Physician Assistant | 1414 S Miller St, Suite B, Santa Maria, CA 93454-6923 | 2006-10-12 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
Please comment or provide details below to improve the information on SAM (NONE) SAFAEE.
| 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.