Individual provider Active NPI

Samantha Lynne Manjares Ramming, AUD, CNIM

  • Clinical Neuropsychologist
  • San Diego, CA
National Provider Identifier
1487392148
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
5005 Issued in CA
Practice address
2815 Camino del Rio S Ste 220
San Diego, CA 92108-3817
Phone
(858) 279-6772
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3656 CA
Clinical Neuropsychologist 103G00000X 5005 CA Primary

Addresses

Primary practice location

2815 Camino del Rio S Ste 220
San Diego, CA 92108-3817

Mailing address

2815 Camino del Rio S Ste 220
San Diego, CA 92108-3817
Phone (858) 279-6772

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

State licenses

LicenseStateTypeSpecialty
5005CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurodynamics Inc Audiologist PastSince May 29, 2022 Accepting new patients
Audioscope Audiology Group Apc Audiologist PastSince May 29, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1487392148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 CAMINO DEL RIO S STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083817",
            "telephone_number": "858-279-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 CAMINO DEL RIO S STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083817",
            "telephone_number": "858-279-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMMING",
        "first_name": "SAMANTHA",
        "middle_name": "LYNNE MANJARES",
        "credential": "AUD, CNIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3656",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "5005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.