SAMANTHA MEDEIROS (NPI# 1992314876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992314876 |
| Entity Type | Individual |
| Full Name | SAMANTHA MEDEIROS |
| Practice Address |
251 Llewellyn Ave Campbell CA 95008-1940 |
| Practice Telephone | 4083793790 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
251 LLEWELLYN AVE |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811093917 | Larry Bryon Hanville Jr. | Marriage & Family Therapist | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2006-09-15 |
| 1093316341 | Justin Johael Arellano Francisco | Licensed Vocational Nurse | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-11-03 |
| 1952909681 | Milton Velez | Case Manager/Care Coordinator | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-10-14 |
| 1114525425 | Kelly Amber Escobedo | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-10-09 |
| 1104433770 | Nelson Vieira Brasil | Case Manager/Care Coordinator | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-09-28 |
| 1568079184 | Megan Michelle Lavond | Behavior Technician | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-09-28 |
| 1134730120 | Sara Jane Vargus | Behavior Technician | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-08-12 |
| 1932718038 | Nereyda Plancarte | Counselor | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-07-24 |
| 1285242842 | Christine Benetua | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-07-20 |
| 1285252106 | Susan Mary Shirron | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183939 | Dimitra Petroula Michael Symbolik | Student in an Organized Health Care Education/Training Program | 96 Goretti Dr, Campbell, OH 44405-1906 | 2020-01-12 |
| 1831636133 | Mauricio Ernesto Amezquita Velazquez | Student in an Organized Health Care Education/Training Program | 2530 S Bascom Ave, Apt. E-2, Campbell, CA 95008-5540 | 2017-01-24 |
| 1467828673 | Holly Ruud | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave # 4, Campbell, CA 95008 | 2015-08-11 |
| 1437560323 | Anna Trevino | Student in an Organized Health Care Education/Training Program | 4626 County Road 4206, Campbell, TX 75422-1246 | 2014-05-13 |
| 1114525425 | Kelly Amber Escobedo | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-10-09 |
| 1285242842 | Christine Benetua | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-07-20 |
| 1285252106 | Susan Mary Shirron | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-07-07 |
| 1033735824 | Francis John Dariano | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-06-17 |
| 1093340101 | Yvette E Dorfler | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-03-09 |
| 1679115794 | Heather Marie Melia | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2019-10-09 |
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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.