Samuel De Chavez Samson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95023358 Issued in CA

Practice address

5763 Stevenson Blvd
Newark, CA 94560-5301

Phone

(510) 656-5700

NPI assigned

Jan 2, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parhelion Healthcare IncGroup PAC ID 5193199461, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Parhelion Healthcare Inc

  • Urgent Care Clinic/Center
  • Pleasanton, CA
  • NPI 1457025256
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1689387045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 CLARINBRIDGE CIR",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687210",
            "telephone_number": "650-452-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5763 STEVENSON BLVD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605301",
            "telephone_number": "510-656-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "SAMUEL",
        "middle_name": "DE CHAVEZ",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norla Saephan
• Laura Alejandra Sahagun
• Anna Ida Sales, D.M.D.
• Saloojas Inc.
• Alexandria Samson
• Sarah Samson
• Anna Sanchez, SLPA
• Tabitha Sanchez
• Alberto F. Sandoval, DDS
• Alondra Sandoval

• Family Nurse Practitioner in Newark, CA
• Providers in Newark, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.