Samantha Sangana, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 22056 Issued in CA

Practice address

2555 E Colorado Blvd Ste 100
Pasadena, CA 91107-6622

Phone

(626) 577-2261

Fax

(626) 577-2543

NPI assigned

Apr 29, 2008

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthright 360

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1760427843
  Medicare reassignment NPD

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1376718353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 E COLORADO BLVD STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076622",
            "telephone_number": "626-577-2261",
            "fax_number": "626-577-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E COLORADO BLVD STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076622",
            "telephone_number": "626-577-2261",
            "fax_number": "626-577-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGANA",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 22056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Jacqueline Sandoval
• Roberto Sandoval, M.D.
• Tiffany Sandoval, RNFA
• Monica Marie Sandowicz, PH.D.
• Emily Sandvold
• Sumalee Sangsurasak, DDS
• Sanity Hospice Inc
• Natalie Sansur
• Leslie Alexandra Santacruz
• Lizbeth Santamaria

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.

Verify at the official NPI Registry.