Active NPI
Samantha Elizabeth James-Perez, LPT
- Licensed Psychiatric Technician
- Monrovia, CA
National Provider Identifier
1720126378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT30039
- Practice address
- 902 S Myrtle Ave
1St Floor
Monrovia, CA 91016-3427 - Phone
- (626) 303-1541
- NPI assigned
- Feb 2, 2007
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT30039 | CA | Primary |
Addresses
Primary practice location
902 S Myrtle Ave
1St Floor
Monrovia, CA 91016-3427
Mailing address
15734 Bluffside CT Unit 189
Chino Hills, CA 91709-3890
Phone (909) 606-3836
Other names 1
- Ms. Samantha Elizabeth James
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 |
|---|---|---|---|
| PT30039 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Ontario, CA
- NPI 1902273923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720126378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15734 BLUFFSIDE CT UNIT 189",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917093890",
"telephone_number": "909-606-3836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 S MYRTLE AVE",
"address_2": "1ST FLOOR",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163427",
"telephone_number": "626-303-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES-PEREZ",
"first_name": "SAMANTHA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT30039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "JAMES",
"middle_name": "ELIZABETH",
"prefix": "MS.",
"credential": "LPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.