Samantha Jo Brumfield, MSN, APRN, AGACNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95012816 Issued in CA

Practice address

5562 Central Avenue
Suite 300
Chino, CA 91762

Phone

(713) 589-5283

NPI assigned

Sep 20, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Samantha Jo Davis Former name

Medicare fee-for-service enrollment

Enrolled in CA, IL2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seasons Medical Group of California IncorporatedGroup PAC ID 9234405952, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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.

• Seasons Medical Group of California Incorporated

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Diego, CA
  • NPI 1790239473
  Medicare reassignment Care Compare group NPD
• Natarajan Medical Group of Illinois, PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Rosemont, IL
  • NPI 1639430861
  Medicare reassignment
• Seasons Hospice & Palliative Care of California- San Bernardino, LLC

  • Community Based Hospice Care Agency
  • Ontario, CA
  • NPI 1336408848
  NPD (past)

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1366093486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 QUEENSBERRY RD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043323",
            "telephone_number": "225-315-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5562 CENTRAL AVENUE",
            "address_2": "SUITE 300",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91762",
            "telephone_number": "713-589-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMFIELD",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95012816",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95012816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "DAVIS",
            "middle_name": "JO",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Evan Bristol, DPT
• Brite Dental Chino, Inc.
• Brockton Medical Transport, LLC
• Chelsea Wedermann Brown, FNP-C
• Ashley Brumell, DMD
• Lauren Marie Brunner
• Michael Eric Leong Brydges
• Louis Buchhold, LMFT, EDDCP
• Jennifer Anne Hagler Buckley, RN, MSN, FNP
• Cheryl Bucsit, RN

• Gerontology Nurse Practitioner in Chino, CA
• Providers in Chino, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.