Samantha Nicole De Dios

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

135051 Issued in CA

Practice address

11755 Wilshire Blvd Ste 1250
Los Angeles, CA 90025-1540

Phone

(858) 519-7195

NPI assigned

Sep 23, 2021

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1518638162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 B ST # 249",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022208",
            "telephone_number": "858-519-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 WILSHIRE BLVD STE 1250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251540",
            "telephone_number": "858-519-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE DIOS",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "7544",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Benin De Castro, ACNP
• Brittney Kaufman De Clerck, M.D.
• Yves A De Clerck, MD
• Kevin John De Comines, L.AC.
• Sharon De Cruz, M.D.
• Sara June De Dios, NP
• Sophie Bistri De Figueiredo, PSY.D.
• Roger Edward De Filippo, MD
• James De Fontes III, MD
• Camille Fayola De Gale, LVN

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.