Individual provider Active NPI

Leonard Steven Samora, CAODC

  • Addiction (Substance Use Disorder) Counselor
  • Oakhurst, CA
National Provider Identifier
1689834368
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
FACT#242 Issued in CA
Practice address
49774 Road 426
Suite D
Oakhurst, CA 93644-8690
Phone
(559) 683-4809
Fax
(559) 683-6499
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X FACT#242 CA Primary

Addresses

Primary practice location

49774 Road 426
Suite D
Oakhurst, CA 93644-8690

Mailing address

49774 Road 426
Suite D
Oakhurst, CA 93644-8690
Phone (559) 683-4809

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

LicenseStateTypeSpecialty
FACT#242CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1689834368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49774 ROAD 426",
            "address_2": "SUITE D",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936448690",
            "telephone_number": "559-683-4809",
            "fax_number": "559-683-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49774 ROAD 426",
            "address_2": "SUITE D",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936448690",
            "telephone_number": "559-683-4809",
            "fax_number": "559-683-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMORA",
        "first_name": "LEONARD",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "CAODC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "FACT#242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.