Active NPI
Samuel Price, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Rancho Cucamonga, CA
National Provider Identifier
1184533150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95041137
- Practice address
- 7030 Amherst CT
Rancho Cucamonga, CA 91701-6079 - Phone
- (267) 205-4579
- NPI assigned
- Sep 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95041137 | CA | Primary |
Addresses
Primary practice location
7030 Amherst CT
Rancho Cucamonga, CA 91701-6079
Mailing address
7030 Amherst CT
Rancho Cucamonga, CA 91701-6079
Phone (267) 205-4579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1184533150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7030 AMHERST CT",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917016079",
"telephone_number": "267-205-4579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7030 AMHERST CT",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917016079",
"telephone_number": "267-205-4579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "SAMUEL",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95041137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
- Preferred Home Health Provider Inc
- Premier Wound Care Hyperbaric Center
- Prestige Medical Clinic and Urgent Care Inc
- Brenda Georgina Price
- Nicholas Price, DPT
- Marina Rey Pricola
- Lexienne Prieto
- Primary Care Medical Transportation Corp.
- Primary Pediatric and Adolescent Clinic, Incorporated
- Prime Care Home Health Agency Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.