Gabriel Isaac Samara

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-HXIWJU Issued in CA

Practice address

1201 Shaffer Rd BLDG 1
Santa Cruz, CA 95060-5761

Phone

(831) 888-6007

NPI assigned

Aug 22, 2023

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

State licenses

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1467236281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CYPRESS AVE APT B",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623710",
            "telephone_number": "831-529-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SHAFFER RD BLDG 1",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950605761",
            "telephone_number": "831-888-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARA",
        "first_name": "GABRIEL",
        "middle_name": "ISAAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-HXIWJU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salud Para la Gente-Elderday Santa Cruz
• Quentin J Saludes
• Howard Salvay
• Saman Deljoui, DMD, Inc.
• Bridget Samano, FNP
• Rubinna Vir Sami
• Reed Anton Sammet, O.D.
• Nancy Samsel, MFT #52231
• George Samuel, L.AC.
• Melissa San Miguel

• Peer Specialist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.