Individual provider Active NPI

Samantha Seaton Dino, MFT

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1669966404
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
96979 Issued in CA
Practice address
14751 Plaza Dr Ste E
Tustin, CA 92780-2773
Phone
(949) 310-9627
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 96979 CA Primary

Addresses

Primary practice location

14751 Plaza Dr Ste E
Tustin, CA 92780-2773

Mailing address

13791 Pasadena St
Santa Ana, CA 92705-7925
Phone (949) 310-9627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 1, 2024 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
96979CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Seaton Marriage and Family Therapist, Inc CurrentSince Apr 21, 2024 Accepting new patients

Locations

14751 Plaza Dr
Ste E
Tustin, CA 92780
Phone (714) 342-7612

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1669966404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13791 PASADENA ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057925",
            "telephone_number": "949-310-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14751 PLAZA DR STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802773",
            "telephone_number": "949-310-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINO",
        "first_name": "SAMANTHA",
        "middle_name": "SEATON",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.