Individual provider Active NPI

Offalyn V Samatra

  • Pharmacy Technician
  • San Francisco, CA
National Provider Identifier
1053588178
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
46470 Issued in CA
Practice address
1600 Holloway Ave
San Francisco, CA 94132-1722
Phone
(415) 338-1710
Fax
(415) 338-3976
NPI assigned
May 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 46470 CA Primary

Addresses

Primary practice location

1600 Holloway Ave
San Francisco, CA 94132-1722

Mailing address

1600 Holloway Ave
San Francisco, CA 94132-1722
Phone (415) 338-1710

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

State licenses

LicenseStateTypeSpecialty
46470CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco State University Student Health Services Past Accepting new patients
San Francisco State University Student Health Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1053588178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HOLLOWAY AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321722",
            "telephone_number": "415-338-1710",
            "fax_number": "415-338-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HOLLOWAY AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321722",
            "telephone_number": "415-338-1710",
            "fax_number": "415-338-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMATRA",
        "first_name": "OFFALYN",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "46470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.