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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005772 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3020 Childrens Way, San Diego, CA 921234223 | 8589668800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
15004 INNOVATION DR |
City | SAN DIEGO |
State | CA |
Zip Code | 92128-3491 |
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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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 |
Find all providers in zip 92128 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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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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.