Jenesagrace Lozano Samson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

264239 Issued in CA

Practice address

401 S Tustin St BLDG D
Orange, CA 92866-2550

Phone

(714) 289-3936

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1831684398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E ORANGEWOOD AVE APT B217",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928024472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S TUSTIN ST BLDG D",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662550",
            "telephone_number": "714-289-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "JENESAGRACE",
        "middle_name": "LOZANO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "264239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shohreh Samimi, DDS
• Samir H. Shah MD, a Medical Corporation
• Samira Seini Dental Professional Corporation
• Vaishalee Sampat, PPS
• Gurmanjot Kaur Samra, M.D.
• Michael Samson
• Jenna Samuels, LMFT 85477
• Keola San Diego
• Mark Jason Joel San Jose
• Vy Ngoc San

• Mental Health Counselor in Orange, CA
• Providers in Orange, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.