Diana Louise Samac, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

17173 Issued in CA

Practice address

1106 Pacific Street
San Luis Obispo, CA 93401

Phone

(805) 546-9500

Fax

(805) 546-9699

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1932311727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 6TH STREET",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "93402",
            "telephone_number": "805-528-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 PACIFIC STREET",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-546-9500",
            "fax_number": "805-546-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAC",
        "first_name": "DIANA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "695142",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "17173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP ANP CERTIFICATION",
            "identifier": "A0407061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Sales, MSOT, OTR/L
• Scott William Saley
• Crystal Esperanza Salinas
• Delailah Lagutan Salinas, R.N.
• Joshuah Salmeron, LMFT
• David K Samanie, M.D.
• Samantha Lalush Nutrition LLC
• Deborah Sampley, D.C. Q.M.E
• Helen M Sampson, LCSW
• Nicholas Philip San Juan

• Adult Health Nurse Practitioner in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.