Active NPI
Sydnie M Samaniego
- Case Manager/Care Coordinator
- Stockton, CA
National Provider Identifier
1730712332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 6 S El Dorado St Ste 510
Stockton, CA 95202-2804 - Phone
- (209) 623-1411
- NPI assigned
- Feb 21, 2020
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
6 S El Dorado St Ste 510
Stockton, CA 95202-2804
Mailing address
6 S El Dorado St Ste 510
Stockton, CA 95202-2804
Other practice location 1
420 E Canal Dr
Turlock, CA 95380-3936
Phone (209) 555-5555
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1730712332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 S EL DORADO ST STE 510",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 S EL DORADO ST STE 510",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022804",
"telephone_number": "209-623-1411"
}
],
"practiceLocations": [
{
"address_1": "420 E Canal Dr",
"address_purpose": "LOCATION",
"city": "Turlock",
"state": "CA",
"postal_code": "953803936",
"country_code": "US",
"telephone_number": "209-555-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMANIEGO",
"first_name": "SYDNIE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.