Samuel H Vance

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

576186 Issued in CA

Practice address

2409 Camino Ramon
San Ramon, CA 94583-4285

Phone

(925) 327-6172

NPI assigned

Jun 9, 2020

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1497370159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 CELESTINE ST",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135252",
            "telephone_number": "925-437-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 CAMINO RAMON",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834285",
            "telephone_number": "925-327-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "SAMUEL",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "576186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Bruce Van Brocklin, D.M.D., M.S.
• Kristin Jane Van de Carr
• Harry Robert Van Den Berg, DDS
• Alison Van Hoff, 1-15-18398
• Sabrina Van Zuiden
• Anitha Vancha
• Deborah A. Vanderbilt-Anderson, OT
• Kylie Vang
• Ilaiana Vargas
• Brenda Vasquez

• Registered Nurse in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.