Shala H Samsamy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC36094 Issued in CA

Practice address

5500 E Atherton St
Long Beach, CA 90815-4016

Phone

(562) 493-1496

Fax

(562) 493-3753

NPI assigned

Oct 10, 2006

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

• Mrs. Shahla Hodjat Samsamy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306934138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N RANCHO DR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154735",
            "telephone_number": "562-430-6372",
            "fax_number": "562-430-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 E ATHERTON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154016",
            "telephone_number": "562-493-1496",
            "fax_number": "562-493-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSAMY",
        "first_name": "SHALA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHLA",
            "last_name": "SAMSAMY",
            "middle_name": "HODJAT",
            "prefix": "MRS.",
            "credential": "M.A., M.F.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bobby Sampson, ACSW
• Darlene Sampson, M.D.
• Erika Eliese Sampson
• Hanna Sampson
• Sams West Inc
• Danae Bryn Samson
• John H Samson, M.D.
• Sandy Samson, LCSW
• Alexis Samudia, LCSW
• Vincente Samudio-Garcia

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.