Active NPI
Samantha Duvall Sharp, M.A.
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1447776422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 6404 Wilshire Blvd Ste 870
Los Angeles, CA 90048-5531 - Phone
- (800) 624-1475
- NPI assigned
- Aug 21, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
6404 Wilshire Blvd Ste 870
Los Angeles, CA 90048-5531
Mailing address
5360 W 124TH PL
Hawthorne, CA 90250-4154
Other practice location 1
3700 Campus Dr Ste 208
Newport Beach, CA 92660-2604
Phone (800) 624-1475
Other practice location 2
4201 Long Beach Blvd Ste 406
Long Beach, CA 90807-2022
Phone (800) 624-1475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DBT California | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1447776422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5360 W 124TH PL",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902504154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 WILSHIRE BLVD STE 870",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485531",
"telephone_number": "800-624-1475"
}
],
"practiceLocations": [
{
"address_1": "3700 Campus Dr Ste 208",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926602604",
"country_code": "US",
"telephone_number": "800-624-1475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4201 Long Beach Blvd Ste 406",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908072022",
"country_code": "US",
"telephone_number": "800-624-1475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARP",
"first_name": "SAMANTHA",
"middle_name": "DUVALL",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.