SAMUEL WOOD (NPI# 1003277856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003277856 |
| Entity Type | Individual |
| Full Name | SAMUEL WOOD |
| Practice Address |
803 Grove Ave Imperial Beach CA 91932 |
| Practice Telephone | 5174149304 |
| Mailing Telephone | 5174149304 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
95071479 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192542 | Samuel Wood | Massage Therapist | 10169 Niccole Ln, Mechanicsville, VA 23116-4719 | 2020-10-22 |
| 1063992097 | Samuel Lawrence Wood | Nurse Practitioner | 215 S Molly Bright Rd, Knoxville, TN 37924-4112 | 2018-08-20 |
| 1619076635 | Samuel Horace Wood | Specialist | 3420 Carmel Mountain Rd Ste 200, San Diego, CA 92121-1069 | 2006-09-22 |
| 1760475974 | Samuel T Wood | Podiatrist | 662 Saint Ferdinand St, Florissant, MO 63031-5125 | 2005-08-24 |
| 1740840784 | Samuel Beach Wood | Emergency Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2019-06-20 |
| 1386106912 | Samuel Clifford Wood | Student in an Organized Health Care Education/Training Program | 22 S Greene St Rm N5w70, Baltimore, MD 21201-1544 | 2019-04-02 |
| 1013405216 | Samuel Dawson Wood | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2018-04-24 |
| 1154835197 | Samuel Bryan Wood | Emergency Medicine | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2017-11-29 |
| 1811098924 | Samuel S. Wood | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2006-09-25 |
| 1356387260 | Samuel K Wood | Specialist | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2006-06-20 |
| Street Address |
803 GROVE AVE |
| City | IMPERIAL BEACH |
| State | CA |
| Zip Code | 91932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962994525 | Seacoast Behavior, LLC | Behavioral Analyst | 536 Shorebird Way, Imperial Beach, CA 91932 | 2018-05-30 |
| 1508363391 | M Mallempalli Professional Dental Corporation | Dentist | 600 Palm Ave., Suite#116, Imperial Beach, CA 91932 | 2018-04-09 |
| 1013440502 | Marice Angelic Dominguez | Respiratory Therapist, Registered | 1021 Elder Ave, Imperial Beach, CA 91932 | 2017-04-11 |
| 1992033427 | Kathleen Helen Austin | Registered Nurse | 785 8th St, Imperial Beach, CA 91932 | 2009-11-20 |
| 1538365549 | Dorothy Mae Rumsey | Marriage & Family Therapist | 1237 East Lane, Imperial Beach, CA 91932 | 2007-06-26 |
| 1427062918 | Vernon Greg Phillips | Family Medicine | 707 Palm Ave, Imperial Beach, CA 91932 | 2006-07-28 |
| 1164489662 | Ralph Edwin Tuttle | Family Medicine | Comncwgruone, Nolf Ib Bldg 184, San Diego, CA 91932 | 2006-04-27 |
| 1154306231 | Solara Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 720 Hwy 75, Imperial Beach, CA 91932 | 2005-12-12 |
| 1720283211 | Fabiola Del Aguila | Psychologist | 949 Palm Ave, Imperial Beach, CA 91932 | 2007-06-15 |
| 1447312178 | Randall Alan Roark | Nurse Practitioner | 949 Palm Ave, Imperial Beach, CA 91932 | 2006-12-16 |
| Find all providers in zip 91932 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739677 | Tiffany Venice Turner | Registered Nurse | 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 | 2020-04-23 |
| 1073144549 | Cedelia Untalan Cardenas | Registered Nurse | 17053 Foothill Blvd Bldg N, Fontana, CA 92335-3574 | 2020-02-03 |
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1316588395 | Batoul Salameh | Registered Nurse | 19204 Bension Dr, Santa Clarita, CA 91350-3797 | 2019-10-01 |
| 1851949580 | Michael Perez | Registered Nurse | 25727 Mcbean Pkwy, Valencia, CA 91355-3704 | 2019-08-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1396390530 | Trisha Lynne Basman | Registered Nurse | 939 Snow Dr, Martinez, CA 94553-4715 | 2019-08-05 |
| 1003378043 | Ildefonso Silva Rodriguez | Registered Nurse | 2437 Woodcreek Rd, Camarillo, CA 93012-2537 | 2019-04-01 |
| 1518430842 | Jesus Lim | Registered Nurse | 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 | 2019-01-09 |
| Find all providers with the same taxonomy | ||||
| City | IMPERIAL BEACH |
| Zip Code | 91932 |
Please comment or provide details below to improve the information on SAMUEL WOOD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.