Jovitha Angeline Samy, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19620 Issued in CA

Practice address

100A San Pablo Towne Center
San Pablo, CA 94806

Phone

(510) 237-2802

NPI assigned

Jul 21, 2010

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Alliance Medical Group, Inc.

  • Internal Medicine Physician
  • Pinole, CA
  • NPI 1750327151
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1639482433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 GWINN COURT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95111",
            "telephone_number": "408-891-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100A SAN PABLO TOWNE CENTER",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-237-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMY",
        "first_name": "JOVITHA",
        "middle_name": "ANGELINE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "724566",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Saavedra Vazquez
• Neil Steven Sachs, MD, MPH
• Michel Sam, MD
• Sandra Maltez Sampaio, MSW
• Harkaran Singh Samra, RN
• San Pablo Anesthesiology Medical Corporation
• San Pablo Healthcare & Wellness Center LLC (San Pablo Healthcare & Wellness Center)
• San Pablo Optometric Center, Inc.
• Jasmin E Sanchez
• Sukhdeep Nauninder Singh Sandhu

• Family Nurse Practitioner in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.