Geoffrey Samson, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86170832 Issued in CA

Practice address

802 Cobb Ave
Placentia, CA 92870-2728

Phone

(714) 412-8985

NPI assigned

Oct 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern California Multi-Specialty Center IncGroup PAC ID 4082953336, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Southern California Multi-Specialty Center Inc

  • Surgery Physician
  • Sherman Oaks, CA
  • NPI 1407326606
  Medicare reassignment Care Compare group NPD
• Kekoahealth LLC

  • Registered Dietitian
  • Placentia, CA
  • NPI 1194519264

  Dietitian, Registered

  NPD Authorized official
• Southern California Multi-Specialty Center Inc

  • Surgery Physician
  • Tarzana, CA
  • NPI 1730863804
  NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1063233898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 COBB AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702728",
            "telephone_number": "714-412-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 COBB AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702728",
            "telephone_number": "714-412-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "GEOFFREY",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86170832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Salazar-Lay, DPT
• Stephanie Salazar
• Saleem a. Waraich, M.D., a Professional Medical Corporation
• Nel-Hanna P Salvador, M.S. CCC-SLP
• Karen Samet, MA, CCC/SLP
• Daniela San Elias Cervantes
• Alberto Enrique Sanchez Leon
• Cassandra Danae Sanders-Holly, D.P.T
• Jessica Fernandez Sando
• Ashley Caroline Sanford

• Registered Dietitian in Placentia, CA
• Providers in Placentia, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.