Active NPI
Rajdeep K Samra, LCSW
- Social Worker
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4900 California Ave
Bakersfield, CA 93309-7024 - Phone
- (661) 852-2874
- NPI assigned
- Dec 22, 2011
- Last updated
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
4900 California Ave
Bakersfield, CA 93309-7024
Mailing address
15008 Northampton Ave
Bakersfield, CA 93314-4301
Phone (818) 602-8354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2930
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Bakersfield, CA
- NPI 1316572753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1215206180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15008 NORTHAMPTON AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933144301",
"telephone_number": "818-602-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 CALIFORNIA AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933097024",
"telephone_number": "661-852-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMRA",
"first_name": "RAJDEEP",
"middle_name": "K",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-22",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.