Samantha Rose McDonald

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-45651 Issued in CA

Practice address

12443 Lewis St Ste 201
Garden Grove, CA 92840-4650

Phone

(714) 748-4440

NPI assigned

Feb 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1053878074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12443 LEWIS ST STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404650",
            "telephone_number": "714-748-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12443 LEWIS ST STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404650",
            "telephone_number": "714-748-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 W Orangewood Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928685056",
            "country_code": "US",
            "telephone_number": "714-696-2862",
            "fax_number": "714-242-9308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-45651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Alyse McCarty, LPT
• Tiffany Lynn McClellan, MSN, APRN, FNP-C
• Alison Rae McClintock, PT
• Tiera McCullough
• Jinai Amiyah McDonald
• Francis Edward McEldowney, D.D.S
• Phillip McEldowney, O.D.
• Patricia McFadden
• Melissa Anne McFaul, PT, DPT
• Zoriah McFerson

• Behavior Analyst in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.