Active NPI
Jose Samora
- Licensed Vocational Nurse
- Santa Fe Springs, CA
National Provider Identifier
1851776231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN 243937
- Practice address
- 11741 Telegraph Rd Ste G
Santa Fe Springs, CA 90670-3687 - Phone
- (562) 942-8256
- NPI assigned
- Jul 27, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN 243937 | CA | Primary |
Addresses
Primary practice location
11741 Telegraph Rd Ste G
Santa Fe Springs, CA 90670-3687
Mailing address
5451 Pioneer BL
Whittier, CA 90601-2155
Phone (323) 313-3479
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 |
|---|---|---|---|
| VN 243937 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1851776231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5451 PIONEER BL",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906012155",
"telephone_number": "323-313-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11741 TELEGRAPH RD STE G",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906703687",
"telephone_number": "562-942-8256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMORA",
"first_name": "JOSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN 243937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.