Active NPI
Christine Samuel, NP
- Nurse Practitioner
- Newport Beach, CA
National Provider Identifier
1881452548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AG02240125
- Practice address
- 3333 W Coast Hwy Ste 500
Newport Beach, CA 92663-4043 - Phone
- (949) 646-0077
- NPI assigned
- Mar 7, 2024
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AG02240125 | CA | Primary |
Addresses
Primary practice location
3333 W Coast Hwy Ste 500
Newport Beach, CA 92663-4043
Mailing address
23642 Sidney Bay
Dana Point, CA 92629-4208
Phone (917) 836-2424
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG02240125 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1881452548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23642 SIDNEY BAY",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926294208",
"telephone_number": "917-836-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W COAST HWY STE 500",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634043",
"telephone_number": "949-646-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "CHRISTINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-07",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "AG02240125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.