Active NPI
Dustin James Samonas
- Addiction (Substance Use Disorder) Counselor
- Santa Maria, CA
National Provider Identifier
1053963348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1347370519
- Practice address
- 526 E Chapel St
Santa Maria, CA 93454-4520 - Phone
- (805) 925-8860
- NPI assigned
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1347370519 | CA | Primary |
Addresses
Primary practice location
526 E Chapel St
Santa Maria, CA 93454-4520
Mailing address
1330 N School St
Santa Maria, CA 93454-2979
Phone (805) 598-6665
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | smtcintern@cadasb.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R1347370519 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Council of Alcoholism and Drug Abuse | Past | Accepting new patients | |
| Council on Alcoholism and Drug Abuse | 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 and National Provider Directory roles.
-
- Case Management Agency
- Santa Maria, CA
- NPI 1275718330
-
- Case Management Agency
- Santa Maria, CA
- NPI 1922464858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1053963348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 N SCHOOL ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934542979",
"telephone_number": "805-598-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 E CHAPEL ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544520",
"telephone_number": "805-925-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMONAS",
"first_name": "DUSTIN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1347370519",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "smtcintern@cadasb.org",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "526 E Chapel St",
"city": "Santa Maria",
"state": "CA",
"country_code": "US",
"postal_code": "934544520",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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- Brandon Salseda
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- Jennifer Samonte-Rillo
- Maya Anusuya Sampath, MD
- Vilma Sams, D.D.S.
- San Luis Physical Therapy & Orthopedic Rehabilitation Inc
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.