SAMANTHA WONG (NPI# 1821331299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821331299 |
| Entity Type | Individual |
| Full Name | SAMANTHA WONG |
| Practice Address |
15503 Ventura Blvd Ste 170 Encino CA 91436-3145 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 8184618148 |
| Mailing Telephone | 3103018732 |
| Mailing Fax Number | 3103018751 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | A134675 | CA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A134675 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 757 Westwood Plz Ste 3325, Los Angeles, CA 900958358 | 3102678653 | 3102678653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528601291 | Samantha Katie Wong | Registered Nurse | 315 Hudson St Fl 6, New York, NY 10013-1058 | 2019-10-24 |
| 1861884355 | Samantha Wong | Speech-Language Pathologist | 6307 Hawthorne St, Rosemont, IL 60018-4409 | 2015-02-20 |
| 1447229794 | Samantha Wong | Dentist | 108 Dekalb St, Bridgeport, PA 19405-1017 | 2006-03-17 |
| 1295385193 | Samantha Wong | Optometrist | 485 Route 1 South, Building A, Iselin, NJ 08830 | 2019-09-13 |
| 1417514233 | Samantha Ashley Wong | Emergency Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2019-05-28 |
| 1033614482 | Samantha Wong | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2018-03-28 |
| 1912378233 | Samantha Wong | Occupational Therapist | 20 Sycamore St, San Francisco, CA 94110-1222 | 2015-10-13 |
| 1306007323 | Samantha Wong | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2008-06-23 |
| 1922012152 | Samantha Hein Wong | Military Hospital | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-07-27 |
| Street Address |
15503 VENTURA BLVD STE 170 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114125994 | Sahar Sohrabian | Internal Medicine | 15503 Ventura Blvd Ste 170, Encino, CA 91436-3145 | 2007-07-03 |
| 1265703102 | Ara A Kardashian | Internal Medicine | 15503 Ventura Blvd Ste 170, Encino, CA 91436-3145 | 2012-01-24 |
| 1447549654 | Susie X Fong | Internal Medicine | 15503 Ventura Blvd Ste 170, Encino, CA 91436 | 2011-03-29 |
| 1326270422 | Pouyan Famini | Internal Medicine | 15503 Ventura Blvd Ste 170, Encino, CA 91436-3145 | 2009-08-22 |
| 1346408622 | Carolyn Goh | Dermatology | 15503 Ventura Blvd Ste 170, Encino, CA 91436-3145 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275009656 | Advanced Pain Medical Group, Inc | Anesthesiology | 16055 Ventura Blvd Ste 444, Encino, CA 91436-2601 | 2018-10-23 |
| 1467944934 | Aalap C Shah Md Inc | Anesthesiology | 16311 Ventura Blvd Ste 1010, Encino, CA 91436-4345 | 2018-05-31 |
| 1083006928 | Encino Anesthesia Associates Inc | Anesthesiology | 5353 Balboa Blvd, Ste 300, Encino, CA 91316-2804 | 2015-03-02 |
| 1326243015 | Mahyar Ganjianpour Do A Professional Corporation | Anesthesiology | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2007-06-20 |
| 1518174945 | Robert Ming Md A Medical Corp | Anesthesiology | 5400 Balboa Blvd, Ste. #111, Encino, CA 91316-1502 | 2007-05-16 |
| 1912128323 | Charles K Neal, Md Inc | Anesthesiology | 16311 Ventura Blvd, Ste 705, Encino, CA 91436-2124 | 2007-05-01 |
| 1972640548 | Interventional Pain Management | Anesthesiology | 16311 Ventura Blvd, #1280, Encino, CA 91436-2124 | 2007-01-31 |
| 1285771360 | Paul Rodricks | Anesthesiology | 16311 Ventura Blvd, #1280, Encino, CA 91436-2124 | 2007-01-30 |
| 1235221417 | Charles Kenneth Neal | Anesthesiology | 16311 Ventura Blvd, Suite# 705, Encino, CA 91436-2124 | 2006-09-28 |
| 1699780437 | Norman Levin, M.d., A Professional Corporation | Anesthesiology | 5400 Balboa Blvd, Ste.# 111, Encino, CA 91316-1502 | 2006-07-30 |
| Find all providers in ENCINO | ||||
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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.