Samantha Lyn Susan Galvan

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1323990918 Issued in CA

Practice address

1304 L St
Bakersfield, CA 93301-4509

Phone

(661) 634-9877

NPI assigned

Oct 26, 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

Practice roles

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.

• Kern County Hispanic Commission on Alcohol and Drug Abuse Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bakersfield, CA
  • NPI 1821269382
  NPD (past)

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1841767043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 L ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 L ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014509",
            "telephone_number": "661-634-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "SAMANTHA",
        "middle_name": "LYN SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1323990918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leobardo Galvan Jr.
• Liliana Galvan, M.S.
• Marisol Galvan
• Michelle Guadalupe Galvan
• Priscilla Galvan
• Sofia Galvan
• Trey Galvan
• Brownhilda Chinyere Gambe
• Andrea Gamboa
• Gabriela Gamboa

• Addiction (Substance Use Disorder) Counselor in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.