Active NPI
Celestina Samora, NURSE PRACTITIONER
- Obstetrics & Gynecology Nurse Practitioner
- Turlock, CA
National Provider Identifier
1568426112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 283193
- Practice address
- 800 Delbon Ave
Turlock, CA 95382-2005 - Phone
- (209) 664-8005
- Fax
- (209) 664-8530
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 283193 | CA | Primary |
Addresses
Primary practice location
800 Delbon Ave
Turlock, CA 95382-2005
Mailing address
800 Delbon Ave
Turlock, CA 95382-2005
Phone (209) 664-8005
Other names 1
- Mrs. Tina Samora
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283193 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568426112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 DELBON AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953822005",
"telephone_number": "209-664-8005",
"fax_number": "209-664-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 DELBON AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953822005",
"telephone_number": "209-664-8005",
"fax_number": "209-664-8530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMORA",
"first_name": "CELESTINA",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "283193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "SAMORA",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.