Active NPI
Adriana Samano, LMFT
- Marriage & Family Therapist
- Upland, CA
National Provider Identifier
1083734115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 105364
- Practice address
- 1425 W Foothill Blvd
Upland, CA 91786-8007 - Phone
- (323) 526-4016
- NPI assigned
- Mar 30, 2007
- Last updated
- Jul 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 51356 | CA | |
| Marriage & Family Therapist | 106H00000X | 72526 | CA | |
| Marriage & Family Therapist | 106H00000X | 105364 | CA | Primary |
Addresses
Primary practice location
1425 W Foothill Blvd
Upland, CA 91786-8007
Mailing address
15357 Pine LN
Chino Hills, CA 91709-2956
Phone (323) 559-0875
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | asamano@southcoastcs.org | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 51356 | CA | MD | Marriage & Family Therapist |
| 72526 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1083734115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15357 PINE LN",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917092956",
"telephone_number": "323-559-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W FOOTHILL BLVD",
"city": "UPLAND",
"state": "CA",
"postal_code": "917868007",
"telephone_number": "323-526-4016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMANO",
"first_name": "ADRIANA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "51356",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "72526",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "105364",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "asamano@southcoastcs.org",
"affiliation": "N",
"endpointDescription": "asamano@southcoastcs.org",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "1425 W Foothill Blvd",
"city": "Upland",
"state": "CA",
"country_code": "US",
"postal_code": "917868007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.