SAMANTHA ANNE SHAFER NP NPI 1689340507

NPI Information

NPI: 1689340507
Provider Name: SAMANTHA ANNE SHAFER, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
4318 MISSION AVE
OCEANSIDE, CA
ZIP 92057
Phone: (760) 901-5010
Get Directions

Samantha Anne Shafer, NP is a pediatrics nurse practitioner in Oceanside, CA. Samantha Anne Shafer, NP NPI is 1689340507. 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:

4318 MISSION AVE
OCEANSIDE, CA
ZIP 92057-541
Phone: (760) 901-5010

The NPI 1689340507 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2021 and was last updated on 8/19/2021.

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	363L00000X	Nurse Practitioner		95018145	CALIFORNIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	95018145	CALIFORNIA	Yes

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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