Individual provider Active NPI

Carolina Samano, MS

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1801361829
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
132071 Issued in CA
Practice address
5080 Camino del Arroyo Apt 471
San Diego, CA 92108-3180
Phone
(951) 823-3872
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 109928 CA
Marriage & Family Therapist 106H00000X 132071 CA Primary

Addresses

Primary practice location

5080 Camino del Arroyo Apt 471
San Diego, CA 92108-3180

Mailing address

5080 Camino del Arroyo Apt 471
San Diego, CA 92108-3180
Phone (951) 823-3872

Other practice location 1

24028 Lake Drive, Suite A
Crestline, CA 92325
Phone (909) 338-3222

Other practice location 2

686 E Mill St
San Bernardino, CA 92415-0647
Phone (800) 451-5633

Other names 1

  • Carolina Sandoval Gonzalez Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carolinaslmft@compasivamente.org Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
132071CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1801361829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 CAMINO DEL ARROYO APT 471",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083180",
            "telephone_number": "951-823-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 CAMINO DEL ARROYO APT 471",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083180",
            "telephone_number": "951-823-3872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24028 Lake Drive, Suite A",
            "address_purpose": "LOCATION",
            "city": "Crestline",
            "state": "CA",
            "postal_code": "92325",
            "country_code": "US",
            "telephone_number": "909-338-3222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "686 E Mill St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924150647",
            "country_code": "US",
            "telephone_number": "800-451-5633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMANO",
        "first_name": "CAROLINA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109928",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carolinaslmft@compasivamente.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "5080 Camino Del Arroyo Apt 471",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921083180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "SANDOVAL GONZALEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.