Active NPI
Anna Samsanovich
- Psychiatric/Mental Health Registered Nurse
- Los Angeles, CA
National Provider Identifier
1780995233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 559832
- Practice address
- 1701 Camino Palmero
Los Angeles, CA 90046 - Phone
- (323) 876-0550
- NPI assigned
- Jun 30, 2010
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 559832 | CA | Primary |
Addresses
Primary practice location
1701 Camino Palmero
Los Angeles, CA 90046
Mailing address
24420 Victory Blvd
Unit 6
Woodland Hills, CA 91367-1009
Phone (213) 247-7247
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 |
|---|---|---|---|
| 559832 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1780995233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24420 VICTORY BLVD",
"address_2": "UNIT 6",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913671009",
"telephone_number": "213-247-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CAMINO PALMERO",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90046",
"telephone_number": "323-876-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSANOVICH",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "559832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.