San Ventures

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAN VENTURES

Practice address

110 Fallenwood Ave
Durham, NC 27713-7112

Phone

(919) 491-6759

NPI assigned

Dec 21, 2022

Organization subpart

No

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

Authorized official

Name

Latoshia Johnson

Title

Ceo

Phone

(919) 491-6759

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1114639168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FALLENWOOD AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137112",
            "telephone_number": "919-491-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FALLENWOOD AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137112",
            "telephone_number": "919-491-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LATOSHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-491-6759"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Gerhardt Samuels, MD
• Erin Samuels, LAT, ATC
• Margaret Frieda Samuels, MSW
• Ruel Samuels, LCSW-A
• Jose Enrique San Miguel-Ruiz, M.D.
• Jesus Alfredo Sanchez Ohep, LPA
• Jorge Sanchez Zelaya, LCSW, CMSW
• Carmen Elisabeth Sanchez, PHD
• Fransine Marie Sanchez, MPH, BCHHP, CHES
• Haley Alexandra Sanchez, FNP-C

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.