MRS. SAMARA PALACIO CARDENAS M.D. NPI 1144463415

NPI Information

NPI: 1144463415
Provider Name: MRS. SAMARA PALACIO CARDENAS, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

CLIA Number: 05D0582089

Address:
1120 W LA PALMA AVE STE 15
ANAHEIM, CA
ZIP 92801
Phone: (714) 535-6419
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MRS. Samara Palacio Cardenas, M.D. is an adolescent medicine pediatrics in Anaheim, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. MRS. Samara Palacio Cardenas, M.D. NPI is 1144463415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1120 W LA PALMA AVE STE 15
ANAHEIM, CA
ZIP 92801-805
Phone: (714) 535-6419
Fax: (714) 535-7222

The CLIA number assigned to this NPI record is 05D0582089 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2009 and was last updated on 4/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	A30768	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A307680	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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