Active NPI
Samantha Sara Riley, NP
- Nurse Practitioner
- Oakland, CA
National Provider Identifier
1720030323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 15393
- Practice address
- 3100 Telegraph Ave
2 ND Floor
Oakland, CA 94609-3210 - Phone
- (510) 452-5231
- Fax
- (510) 869-6679
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 15393 | CA | Primary |
Addresses
Primary practice location
3100 Telegraph Ave
2 ND Floor
Oakland, CA 94609-3210
Mailing address
11875 Dublin Blvd
Suite B 125
Dublin, CA 94568-2843
Phone (925) 587-2505
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients |
Interoperability endpoints
- sriley@tampeds.pcc-direct.com
Organizations & group practices 2
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.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1720030323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11875 DUBLIN BLVD",
"address_2": "SUITE B 125",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682843",
"telephone_number": "925-587-2505",
"fax_number": "925-587-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 TELEGRAPH AVE",
"address_2": "2 ND FLOOR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093210",
"telephone_number": "510-452-5231",
"fax_number": "510-869-6679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "SAMANTHA",
"middle_name": "SARA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "15393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.