Active NPI
Samantha Jane Humphries, L.AC.
- Acupuncturist
- Claremont, CA
National Provider Identifier
1669814448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 15179
- Practice address
- 114 N Indian Hill Blvd Ste G
Claremont, CA 91711-4642 - Phone
- (909) 518-3126
- NPI assigned
- Jul 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 15179 | CA | Primary |
Addresses
Primary practice location
114 N Indian Hill Blvd Ste G
Claremont, CA 91711-4642
Mailing address
8692 9TH St Unit 14
Rancho Cucamonga, CA 91730-0806
Phone (909) 518-3126
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15179 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1669814448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8692 9TH ST UNIT 14",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300806",
"telephone_number": "909-518-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N INDIAN HILL BLVD STE G",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114642",
"telephone_number": "909-518-3126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHRIES",
"first_name": "SAMANTHA",
"middle_name": "JANE",
"name_prefix": "Miss",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-23",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "15179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.