SUJA SAMUEL NPI 1417329947

NPI Information

NPI: 1417329947
Provider Name: SUJA SAMUEL
Classification: Registered Nurse - 163WC0400X
Specialization: Case Management
Entity Type: Individual
Address: 597 CENTER AVENUE, SUITE 200-A
MARTINEZ, CA
ZIP 94553
Phone: (925) 313-6740

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NPI Details

Suja Samuel is a case management registered nurse in Martinez, CA. Suja Samuel NPI is 1417329947. 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:

597 CENTER AVENUE, SUITE 200-A
MARTINEZ, CA
ZIP 94553
Phone: (925) 313-6740

The enumeration date for this NPI number is 10/23/2015 and was last updated on 10/23/2015.

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	163WC0400X	Registered Nurse	Case Management	666581	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	F3305375	OTHER	CALIFORNIA	DRIVER'S LICENSE

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: 11/21/2025

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