Active NPI
Ben Samonte
- Registered Nurse
- San Diego, CA
National Provider Identifier
1689300352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95248450
- Practice address
- 5520 Overland Ave
San Diego, CA 92123-1206 - Phone
- (858) 694-3900
- NPI assigned
- Jul 26, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95248450 | CA | Primary |
Addresses
Primary practice location
5520 Overland Ave
San Diego, CA 92123-1206
Mailing address
723 Eastshore Ter Unit 57
Chula Vista, CA 91913-2418
Phone (619) 274-4984
Other practice location 1
1173 Front St
San Diego, CA 92101-3904
Phone (619) 615-2454
Other practice location 2
1173 Front St
San Diego, CA 92101-3904
Phone (619) 615-2454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20131241 | Other | CA | KAISER |
Other names 1
- Mr. Ben Dumandan Samonte
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 |
|---|---|---|---|
| 95248450 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1689300352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 EASTSHORE TER UNIT 57",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919132418",
"telephone_number": "619-274-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 OVERLAND AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231206",
"telephone_number": "858-694-3900"
}
],
"practiceLocations": [
{
"address_1": "1173 Front St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921013904",
"country_code": "US",
"telephone_number": "619-615-2454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1173 Front St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921013904",
"country_code": "US",
"telephone_number": "619-615-2454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMONTE",
"first_name": "BEN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95248450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "20131241",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BEN",
"last_name": "SAMONTE",
"middle_name": "DUMANDAN",
"prefix": "MR.",
"credential": "RN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.