Active NPI
Loretta M. Samaniego, M.D.
- Emergency Medicine Physician
- Van Nuys, CA
National Provider Identifier
1629016993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G79859
- Practice address
- 15107 Vanowen St
Van Nuys, CA 91405-4542 - Phone
- (818) 902-2990
- Fax
- (818) 904-3793
- NPI assigned
- Jun 2, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G79859 | CA | Primary |
Addresses
Primary practice location
15107 Vanowen St
Van Nuys, CA 91405-4542
Mailing address
2550 N Hollywood Way
Suite 209
Burbank, CA 91505-1055
Phone (818) 557-0135
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G798590 | Other | CA | BLUE SHIELD |
| 00G798590 | Medicaid | CA | |
| 050126CG22530 | Other | CA | VALLEY PRES TRAILBLAZER |
| 00G798590 | Other | CA | CALOPTIMA |
| G79859 | Other | CA | BLUE CROSS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Solano Emergency Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
| Glendale Emergency Medical Associates, Inc | Emergency Medicine | Past | Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Department Physicians Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- lsamaniego@direct.swgeneral.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1730104498
-
- Emergency Medicine Physician
- Glendale, CA
- NPI 1588606834
-
- Emergency Medicine Physician
- Vallejo, CA
- NPI 1629006655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1629016993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 N HOLLYWOOD WAY",
"address_2": "SUITE 209",
"city": "BURBANK",
"state": "CA",
"postal_code": "915051055",
"telephone_number": "818-557-0135",
"fax_number": "818-557-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15107 VANOWEN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054542",
"telephone_number": "818-902-2990",
"fax_number": "818-904-3793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMANIEGO",
"first_name": "LORETTA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G79859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G798590",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G798590",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALLEY PRES TRAILBLAZER",
"identifier": "050126CG22530",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALOPTIMA",
"identifier": "00G798590",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G79859",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.