Samantha Aispuro

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95025828 Issued in CA

Practice address

6601 Rugby Ave Ste 300
Huntington Park, CA 90255-4046

Phone

(323) 582-1177

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Samantha Gallardo Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1124707260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S GLENDORA AVE UNIT 1334",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917407169",
            "telephone_number": "323-582-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 RUGBY AVE STE 300",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554046",
            "telephone_number": "323-582-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AISPURO",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GALLARDO",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mario Aguirre
• Ammar A Ahmed, DO
• Roma Ahmed, NP
• Kathleen Ahn, NP
• Lucy Ahumada-Alba, P.A.-C
• Jasmine Rajab Albakri, PHARMD
• Alberto Alonso, MD, Inc.
• Maria Aldana
• Alejandro F Aguilar MD Inc
• Alejandro M. Arredondo O.D. Opt. Corp.

• Family Nurse Practitioner in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.