Samantha Pane

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

98295 Issued in CA

Practice address

777 E Alosta Ave
Azusa, CA 91702-3102

Phone

(714) 798-1958

NPI assigned

Feb 21, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Through the Sea Marriage and Family Counseling IncGroup PAC ID 3870932692, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Through the Sea Marriage and Family Counseling Inc

  • Marriage & Family Therapist
  • West Covina, CA
  • NPI 1093281990
  Medicare reassignment Care Compare group NPD Authorized official
• Descanso Home Health Services

  • Home Health Agency
  • Covina, CA
  • NPI 1437504990
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1215476478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E GARVEY AVE N STE B17",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911545",
            "telephone_number": "626-489-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E ALOSTA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023102",
            "telephone_number": "714-798-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Padilla
• Denise H Padilla
• Jasmine N/a Paktan, OTR/L
• Jennifer Palacios
• Miguel Angel Palos Jr.
• Robert A Pardon
• Leslie Paredes-Plaza, FNP-C
• Yoon Shin Park
• Guadalupe Parra
• Kassandra Lauren Parrish

• Marriage & Family Therapist in Azusa, CA
• Providers in Azusa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.