Individual provider Active NPI

Samantha Sylvia Halit, FNP-BC

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1760727606
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22247 Issued in CA
Practice address
3695 Linden Ave
Unit 7a
Long Beach, CA 90807-4021
Phone
(310) 729-1821
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22247 CA Primary

Addresses

Primary practice location

3695 Linden Ave
Unit 7a
Long Beach, CA 90807-4021

Mailing address

3695 Linden Ave
Unit 7a
Long Beach, CA 90807-4021
Phone (310) 729-1821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712002663 CA Practitioner - Nurse Practitioner 0446542443 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22247CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Current Accepting new patients
Housecall Doctors Medical Group Inc CurrentSince Jan 31, 2020 Accepting new patients
Providence Medical Institute CurrentSince May 28, 2016 Accepting new patients

Locations

23181 Verdugo Dr
Ste 103A
Laguna Hills, CA 92653
Phone (800) 964-4364

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 322-9700

3524 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 316-2055

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

Interoperability endpoints

  • Direct secure messaging: shalit586120@oc.providencedirect.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1760727606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 LINDEN AVE",
            "address_2": "UNIT 7A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074021",
            "telephone_number": "310-729-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 LINDEN AVE",
            "address_2": "UNIT 7A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074021",
            "telephone_number": "310-729-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALIT",
        "first_name": "SAMANTHA",
        "middle_name": "SYLVIA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.