Sammy Edwards

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

6166 Vesper Ave
Van Nuys, CA 91411-2851

Phone

(818) 997-0414

Fax

(818) 785-3461

NPI assigned

Jul 25, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New Road Recovery Services Inc.

  • Substance Abuse Rehabilitation Facility
  • Palmdale, CA
  • NPI 1366083362
  NPD Authorized official

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1124571252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6166 VESPER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112851",
            "telephone_number": "818-997-0414",
            "fax_number": "818-785-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6166 VESPER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112851",
            "telephone_number": "818-997-0414",
            "fax_number": "818-785-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SAMMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar C Banez,MD
• Edgewood Home Health Care Inc
• Edgewood Hospice Care, Inc.
• Edtech Professional Inc.
• Brittany Ann Edwards
• Eh Nursing and Wellness Services Inc.
• Ehab Yacoub MD Inc.
• Colleen Eisele, OTR/L
• Gaius Ejiehiegbe
• Ek Hope Hospice & Palliative Care Inc

• Addiction (Substance Use Disorder) Counselor in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.