Ryan Anthony Sample, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

80735 Issued in CA

Practice address

2930 W Imperial Hwy Ste 300
Inglewood, CA 90303-3141

Phone

(323) 569-1610

NPI assigned

Jun 4, 2021

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Amaad Institute

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1265898076
  NPD (past)

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1427625888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY STE 300",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033141",
            "telephone_number": "323-569-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY STE 300",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033141",
            "telephone_number": "323-569-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10221 Compton Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Watts",
            "state": "CA",
            "postal_code": "900022805",
            "country_code": "US",
            "telephone_number": "323-569-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPLE",
        "first_name": "RYAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Antonia Salazar
• Carlos J Saldana
• Ronnie Salone
• Samik Medical Services Inc
• Behrooz Samouha, DC
• Frantesa Lashay Sampson
• Mercedes Samudio, LCSW
• Samuel S. Galley, M.D.,Inc.
• San Antonio Urgent Care
• San Antonio Urgent Medical Care PC

• Clinical Social Worker in Inglewood, CA
• Providers in Inglewood, 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 Jun 4, 2021; 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.