Active NPI
Pedro Samaniego IV, D.C.
- Chiropractor
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33622
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Jun 21, 2016
- Last updated
- Jan 31, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33622 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
3727 Buchanan St
San Francisco, CA 94123-5410
Phone (415) 563-1655
Other names 1
- Dr. Pete Samaniego IV
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 81.89
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33622 | CA | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Medical Center | Current | Accepting new patients | |
| Alliance Medical Center | Current | Accepting new patients | |
| Alliance Medical Center | Current | Accepting new patients |
Locations
1381 University St
Healdsburg, CA 95448
Phone (707) 431-8234
1557 Healdsburg Ave
Ste 16
Healdsburg, CA 95448
8465 Old Redwood Hwy
Ste 320
Windsor, CA 95492
Phone (707) 433-5494
Interoperability endpoints
- psamaniego645566@direct.ochin.org
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Healdsburg, CA
- NPI 1750399796
-
- Optometrist
- Healdsburg, CA
- NPI 1588497168
-
- Federally Qualified Health Center (FQHC)
- Windsor, CA
- NPI 1710218409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1528418472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "3727 Buchanan St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941235410",
"country_code": "US",
"telephone_number": "415-563-1655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMANIEGO",
"first_name": "PEDRO",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PETE",
"last_name": "SAMANIEGO",
"prefix": "DR.",
"suffix": "IV",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.