Active NPI
Racquel Dela Cruz Dizon-Samson, R.N.
- Critical Care Medicine Registered Nurse
- Suisun City, CA
National Provider Identifier
1154424190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 625156
- Practice address
- 229 Bridgewater Circle
Suisun City, CA 94585 - Phone
- (707) 427-1939
- Fax
- (707) 427-1939
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 625156 | CA | Primary |
| Home Health Registered Nurse | 163WH0200X | 625156 | CA |
Addresses
Primary practice location
229 Bridgewater Circle
Suisun City, CA 94585
Mailing address
229 Bridgewater Circle
Suisun City, CA 94585
Phone (707) 427-1939
Other names 1
- Raquel Dizon Samson
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 625156 | CA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1154424190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 BRIDGEWATER CIRCLE",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "94585",
"telephone_number": "707-427-1939",
"fax_number": "707-427-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 BRIDGEWATER CIRCLE",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "94585",
"telephone_number": "707-427-1939",
"fax_number": "707-427-1939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIZON-SAMSON",
"first_name": "RACQUEL",
"middle_name": "DELA CRUZ",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "625156",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "625156",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAQUEL",
"last_name": "SAMSON",
"middle_name": "DIZON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Suisun City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.