Active NPI
Samantha Onica Gooding, FNP
- General Practice Registered Nurse
- Long Beach, CA
National Provider Identifier
1851896948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 95008034
- Practice address
- 1930 E Anaheim St
Long Beach, CA 90813 - Phone
- (562) 599-2248
- Fax
- (562) 599-8801
- NPI assigned
- Mar 29, 2018
- 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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 95008034 | CA | Primary |
Addresses
Primary practice location
1930 E Anaheim St
Long Beach, CA 90813
Mailing address
1930 E Anaheim St
Long Beach, CA 90813
Phone (562) 599-2248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190904002836 | CA | Order and Referring Only - Nurse Practitioner | 0941539704 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95008034 | CA | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1851896948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 E ANAHEIM ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90813",
"telephone_number": "562-599-2248",
"fax_number": "562-599-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 E ANAHEIM ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90813",
"telephone_number": "562-599-2248",
"fax_number": "562-599-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODING",
"first_name": "SAMANTHA",
"middle_name": "ONICA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "CA",
"license": "95008034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.