Active NPI
Samantha Ives, RN
- Registered Nurse
- Alameda, CA
National Provider Identifier
1639980691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95120901
- Practice address
- 1080 Marina Village Pkwy
Alameda, CA 94501-6427 - Phone
- (510) 337-7950
- NPI assigned
- Jan 17, 2025
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95120901 | CA | Primary |
Addresses
Primary practice location
1080 Marina Village Pkwy
Alameda, CA 94501-6427
Mailing address
1080 Marina Village Pkwy
Alameda, CA 94501-6427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568219855 | Other | CA | TELECARE CORPORATION |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95120901 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1639980691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 MARINA VILLAGE PKWY",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945016427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 MARINA VILLAGE PKWY",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945016427",
"telephone_number": "510-337-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVES",
"first_name": "SAMANTHA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2025-01-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95120901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TELECARE CORPORATION",
"identifier": "1568219855",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.