Sandra Maltez Sampaio, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

71908 Issued in CA

Practice address

2523 El Portal Dr
Suite 201
San Pablo, CA 94806-3305

Phone

(510) 439-3130

NPI assigned

Aug 18, 2011

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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.

• Fred Finch Youth Center

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1447588876

  Clinical

  NPD (past)
• Fred Finch Youth Center

  • Community/Behavioral Health Agency
  • Richmond, CA
  • NPI 1518188580

  Clinical

  NPD (past)
• Octave Behavioral Health PC

  • Psychologist
  • San Francisco, CA
  • NPI 1184199549
  NPD (past)

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1396025680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 COOLIDGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023311",
            "telephone_number": "510-506-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 EL PORTAL DR",
            "address_2": "SUITE 201",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063305",
            "telephone_number": "510-439-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPAIO",
        "first_name": "SANDRA",
        "middle_name": "MALTEZ",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "71908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9324 W Stockton Blvd",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957588012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Russell
• Daniella K Rutashongerwa
• Erica Saavedra Vazquez
• Neil Steven Sachs, MD, MPH
• Michel Sam, MD
• Harkaran Singh Samra, RN
• Jovitha Angeline Samy, FNP-C
• San Pablo Anesthesiology Medical Corporation
• San Pablo Healthcare & Wellness Center LLC
• San Pablo Optometric Center, Inc.

• Clinical Social Worker in San Pablo, CA
• Providers in San Pablo, 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 Jan 3, 2022; 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.