Active NPI
Kayla Samataro, NP
- Family Nurse Practitioner
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95031893
- Practice address
- 2104 N Verdugo Rd Apt B
Glendale, CA 91208-2551 - Phone
- (978) 877-0490
- NPI assigned
- Oct 28, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95031893 | CA | Primary |
Addresses
Primary practice location
2104 N Verdugo Rd Apt B
Glendale, CA 91208-2551
Mailing address
2104 N Verdugo Rd Apt B
Glendale, CA 91208-2551
Phone (978) 877-0490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 W Pearl St
Pomona, CA 91768-3114
Phone (888) 256-3814
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95031893 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Plus, LLC | Current | Accepting new patients |
Locations
501 S Beach Blvd
Anaheim, CA 92804
Phone (714) 816-0540
1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109
9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481
215 W Pearl St
Pomona, CA 91768
Phone (909) 227-0750
8171 Magnolia Ave
Riverside, CA 92504
Phone (951) 657-3842
304 N Melrose Dr
Vista, CA 92083
Phone (760) 724-8222
5716 Corsa Ave
Ste 110
Westlake Village, CA 91362
Phone (214) 440-3671
4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1629890983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 N VERDUGO RD APT B",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082551",
"telephone_number": "978-877-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 N VERDUGO RD APT B",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082551",
"telephone_number": "978-877-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMATARO",
"first_name": "KAYLA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95031893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
- 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.