Individual provider Active NPI

Betsy Lilliana Samayoa, RN

  • Registered Nurse
  • Long Beach, CA
National Provider Identifier
1003261223
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
799562 Issued in CA
Practice address
4901 E Carson St
R19
Long Beach, CA 90808-1706
Phone
(562) 938-4265
Fax
(562) 938-4994
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 799562 CA Primary

Addresses

Primary practice location

4901 E Carson St
R19
Long Beach, CA 90808-1706

Mailing address

4901 E Carson St
R19
Long Beach, CA 90808-1706
Phone (562) 938-4265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
799562CAMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1003261223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 E CARSON ST",
            "address_2": "R19",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081706",
            "telephone_number": "562-938-4265",
            "fax_number": "562-938-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 E CARSON ST",
            "address_2": "R19",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081706",
            "telephone_number": "562-938-4265",
            "fax_number": "562-938-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAYOA",
        "first_name": "BETSY",
        "middle_name": "LILLIANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "799562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.