Active NPI
Elizabeth Samano Falcon
- Clinical Social Worker
- Loma Linda, CA
National Provider Identifier
1942022884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 11155 Mountain View Ave
Loma Linda, CA 92354-3867 - Phone
- (909) 558-6716
- NPI assigned
- Oct 31, 2024
- Last updated
- Oct 31, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
11155 Mountain View Ave
Loma Linda, CA 92354-3867
Mailing address
528 Hibiscus Dr Apt A204
Redlands, CA 92373-6192
Phone (909) 278-9408
Other names 1
- Elizabeth Samano
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1942022884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 HIBISCUS DR APT A204",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923736192",
"telephone_number": "909-278-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11155 MOUNTAIN VIEW AVE",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543867",
"telephone_number": "909-558-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALCON",
"first_name": "ELIZABETH",
"middle_name": "SAMANO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-31",
"last_updated": "2024-10-31",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SAMANO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.