SAMANTHA CAMUSO (NPI# 1902355753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902355753 |
| Entity Type | Individual |
| Full Name | SAMANTHA CAMUSO |
| Credential | PA-C |
| Practice Address |
4000 Dublin Blvd Suite 100 Dublin CA 94568-3113 |
| Mailing Address |
200 Porter Dr 215 San Ramon CA 94583-1587 |
| Practice Telephone | 9255567320 |
| Practice Fax Number | 9254790231 |
| Mailing Telephone | 9255567320 |
| Mailing Fax Number | 9254790231 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA178413 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA54090 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4000 DUBLIN BLVD SUITE 100 |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669459566 | Raafat K Zamary | Internal Medicine | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2005-12-30 |
| 1316590854 | Sharone Moverman | Physician Assistant | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2019-07-23 |
| 1487164174 | Amy Joy Renaud | Physical Therapist | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2017-10-06 |
| 1487107298 | Stephen Powers | Physician Assistant | 4000 Dublin Blvd, 100, Dublin, CA 94568-3113 | 2016-07-27 |
| 1548612989 | Jonghee Shin | Registered Nurse | 4000 Dublin Blvd, Dublin, CA 94568 | 2016-07-11 |
| 1497107890 | Lisa Biga | Nurse Practitioner | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2016-07-08 |
| 1285084772 | Sonja Bauer | Physical Therapist | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2016-06-15 |
| 1295122398 | Christina Danial | Dermatology | 4000 Dublin Blvd, Dublin, CA 94568 | 2015-04-16 |
| 1225380819 | Patricia Torres | Occupational Therapist | 4000 Dublin Blvd, Suite 100, Dublin, CA 94568-3113 | 2012-10-08 |
| 1366700320 | Raveen Deol | Psychiatry & Neurology | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2012-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083973994 | Rocket Physician Assistant Corp | Physician Assistant | 4351 Foxford Way, Dublin, CA 94568-7819 | 2012-05-11 |
| 1639249790 | Donald Owen Mauger | Physician Assistant | 7450 Hospital Dr Ste 300, Dublin, OH 43016-9687 | 2006-11-08 |
| 1457971921 | Robert William Roethel | Physician Assistant | 100 Medical Dr Ste 400, Dublin, GA 31021-2561 | 2020-04-24 |
| 1487107298 | Stephen Powers | Physician Assistant | 4000 Dublin Blvd, 100, Dublin, CA 94568-3113 | 2016-07-27 |
| 1154655504 | Jennifer Laura Labrum | Physician Assistant | 4000 Dublin Blvd, 100, Dublin, CA 94568-3113 | 2009-10-01 |
| 1770547135 | Robert W. Cannady | Physician Assistant | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
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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.