Samantha M Allen
Individual provider Active NPI Case Manager/Care Coordinator · Oceanside, CA
NPI 1891484077 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1891484077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 321 Cassidy St
Oceanside, CA 92054-5314 - Phone
- (760) 721-2171
- NPI assigned
- May 3, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000030865800 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past |
Accepting new patients | |
| Community Research Foundation Inc | Past |
Accepting new patients | |
| Community Research Foundation Inc | Case Manager/Care Coordinator | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000030865800 | CA | |
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
321 Cassidy St
Oceanside, CA 92054-5314
Mailing address
6737 Del Cerro Blvd
San Diego, CA 92120-4834
Phone (828) 708-2651
Other practice location 1
545 Laurel St
San Diego, CA 92101-1634
Phone (619) 233-4399
Other providers in Oceanside, CA
- Chriss N. Allen
- Marissa Ann Allen
- Matthew Gene Allen
- Paige Allen
- Ria Jane Yoder Allen
- Sonya V Allen
- Thomas Allen
- William Michael Allen
- Heather Deanne Allenby
- Neville Alleyne
All providers in Oceanside, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.