Samantha Rachel Gutierrez de la Cruz
Individual provider Active NPI Nurse's Aide · Ashland, CA
NPI 1679416366 · NPPES record last updated Apr 9, 2026
Key facts
- NPI
- 1679416366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 01348248 (CA)
- Practice address
- 268 Lewelling Blvd
Ashland, CA 94580-1632 - Phone
- (510) 363-0206
- NPI assigned
- Apr 9, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01348248 | CA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Psychiatric Care and Rehabilitation, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 01348248 | CA | Yes |
Addresses
Primary practice location
268 Lewelling Blvd
Ashland, CA 94580-1632
Mailing address
268 Lewelling Blvd
Ashland, CA 94580-1632
Phone (510) 363-0206
Other providers in Ashland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.