SAMANTHA RAEJEAN GALVAN


Address: 15004 Innovation Dr, San Diego, CA 92128-3491
Phone: 8586057967

SAMANTHA RAEJEAN GALVAN (NPI# 1932646734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932646734
Entity Type Individual
Full Name SAMANTHA RAEJEAN GALVAN
Other Name MRS. SAMANTHA RAEJEAN YEE
Credential NP
Practice Address 15004 Innovation Dr
San Diego
CA 92128-3491
Mailing Address 10790 Rancho Bernardo Rd
San Diego
CA 92127-5705
Practice Telephone 8586057967
Mailing Telephone 8589554910
Enumeration Date 2017-01-31
Last Update Date 2018-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95005772 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3020 Childrens Way, San Diego, CA 921234223 8589668800

Other Providers SAMANTHA GALVAN

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1396209730 Samantha Galvan Behavior Technician 2630 W Rumble Rd, Modesto, CA 95350-0155 2019-01-30
1841767043 Samantha Lyn Susan Galvan Counselor 1304 L St, Bakersfield, CA 93301-4509 2018-10-26

Office Location

Street Address 15004 INNOVATION DR
City SAN DIEGO
State CA
Zip Code 92128-3491

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851376222 Scripps Clinic Medical Group Clinic/Center 15004 Innovation Dr, San Diego, CA 92128-3491 2005-12-08
1023642097 Amy Joelle Chamberlain Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-27
1790318715 Cameron Devany Speech-Language Pathologist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-18
1851924252 Janelle Marie Wilson Physical Therapy Assistant 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-14
1285267617 Mitchell Russo Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1427681873 Lucy Santillan Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1740813112 Monique Munro Werner Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1003449422 Margaret Ann Fuller Occupational Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1023641586 Katie Jo Rodgers Speech-Language Pathologist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-12
1649802166 Irina Keefer Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585371 Alicia Ford Behavior Technician 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 2020-07-08
1164087573 Madeleine White Dietitian, Registered 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 2019-05-01
1053807677 Joele Ghosn Speech-Language Pathologist 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 2018-07-06
1376034348 Eddie Reginald Burston II In Home Supportive Care 12727 Camino Emparrado, San Diego, CA 92128 2018-05-24
1336659218 Ryan Fong Physician Assistant 15004 Innovation Drive (s97), San Diego, CA 92128 2017-10-05
1508316191 Araceli Flores Behavioral Analyst 15737 Innovation Dr, Suite 200, San Diego, CA 92128 2016-10-07
1003283961 Katherine Dishner Hearing Instrument Specialist 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 2015-08-27
1205212586 Mobilia Dmd Inc. Point of Service 12405 Rancho Bernardo Rd., San Diego, CA 92128 2015-08-10
1346623634 Angela Christine Storck-petersen Dietitian, Registered 11768 Caminito Corriente, San Diego, CA 92128 2015-07-04
1134526874 Breeana Rose Lancaster Speech-Language Pathologist 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 2014-11-24
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982203097 Rebecca Dolores Garcia Nurse Practitioner 2440 Curlew St, San Diego, CA 92101-1327 2020-10-20
1003415472 Ryanleo Flores Nurse Practitioner 2017 1st Avenue, Suite 301, San Diego, CA 92101 2020-10-18
1083226245 Allison Floyd Nurse Practitioner 3652 Texas St, San Diego, CA 92104-4044 2020-08-19
1386255248 Helen Hyeyoung Hong Nurse Practitioner 5140 Caminito Exquisito, San Diego, CA 92130-2852 2020-08-13
1134747595 Dawn Elyse Rose Nurse Practitioner 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 2020-07-10
1982232591 John Meier Nurse Practitioner 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 2020-03-30
1013543008 Alex Choi Mara Nurse Practitioner 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 2020-03-21
1669005021 Katlyn Ann Hartman Nurse Practitioner 1951 4th Ave, San Diego, CA 92101-2374 2020-02-13
1245876101 Katherine Baber Nurse Practitioner 3671 Fifth Ave, San Diego, CA 92103-4218 2019-11-25
1922644095 Taiko Harris Nurse Practitioner 13592 Bolero Way, San Diego, CA 92130-7006 2019-11-22
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Competitor

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City SAN DIEGO
Zip Code 92128

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Dataset Information

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.

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