Samantha Rae Klawin Herrera, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292151 Issued in CA

Practice address

11600 Wilshire Blvd Ste 222
Los Angeles, CA 90025-1782

Phone

(424) 248-0100

NPI assigned

Oct 3, 2016

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

• Samantha Rae Klawin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Next Phase Medical PC

  • General Practice Physician
  • Culver City, CA
  • NPI 1821961863
  NPD

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1346799236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 222",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251782",
            "telephone_number": "424-248-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 222",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251782",
            "telephone_number": "424-248-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11825 Major St",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306356",
            "country_code": "US",
            "telephone_number": "310-915-6100",
            "fax_number": "310-915-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "SAMANTHA",
        "middle_name": "RAE KLAWIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "KLAWIN",
            "middle_name": "RAE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rocio Fatima Herrera
• Rocio Rose Herrera, PTA
• Rodrigo Herrera Jr.
• Ruth Herrera X
• Sally Herrera
• Sarai Herrera
• Stephanie Herrera, NP
• Sullyht Celeste Herrera
• Sulma Jessica Herrera, MD, MPH
• Tania Herrera

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.