Samantha Selket Thomas

Key facts

NPI

1750173555

Entity type

Individual (NPI type 1)

Primary specialty

Specialist 174400000X

License

DEH2024-FBAP-004675 (CA)

Practice address

254 Avocado Ave
El Cajon, CA 92020-4604

Phone

(619) 315-3792

NPI assigned

May 19, 2025

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 19, 2025.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1750173555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 TERRY LN",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425849",
            "telephone_number": "805-705-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 AVOCADO AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204604",
            "telephone_number": "619-315-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SAMANTHA",
        "middle_name": "SELKET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "DEH2024-FBAP-004675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

• Augure Thomas, LVN
• Cassandra Thomas
• Dalia Mary Thomas, MSW
• Judith Nell Thomas
• Patrick Thomas I
• Barbara Thompson, LVN
• Sarah Rene Thompson
• Sykessa Thompson, LVN
• Antonio Thornton
• Erikka G Thorpe

All providers in El Cajon, CA · Specialist in California