Samantha Hsiaochien Pang

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95003763 Issued in CA

Practice address

26366 Carmel Rancho LN
Carmel, CA 93923-8721

Phone

(425) 829-6436

NPI assigned

Mar 16, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2943/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1639530736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 193RD AVE SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26366 CARMEL RANCHO LN",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238721",
            "telephone_number": "425-829-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "SAMANTHA",
        "middle_name": "HSIAOCHIEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95003763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern California Congregational Retirement Homes, Inc (Carmel Valley Manor)
• Jennifer Jill Nuckton, M.P.T.
• John M Obert-Hong, MD
• Brita Ostrom, MFT
• Hiromi Ozawa, P.T.
• Phillip E Pendleton, APRN
• Peninsula Sport Physical Therapy
• Brenda Perez
• Stephen Joseph Peroutka, MD, PHD
• Gemma Peterson

• Family Nurse Practitioner in Carmel, CA
• Providers in Carmel, 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 Sep 1, 2016; 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.