MRS. SAMANTHA JO BRUMFIELD


Address: 5562 Central Avenue, Suite 300, Chino, CA 91762
Phone: 7135895283

MRS. SAMANTHA JO BRUMFIELD (NPI# 1366093486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366093486
Entity Type Individual
Full Name MRS. SAMANTHA JO BRUMFIELD
Other Name MISS SAMANTHA JO DAVIS
Credential MSN, APRN, AGACNP-BC
Practice Address 5562 Central Avenue
Suite 300
Chino
CA 91762
Mailing Address 2195 Queensberry Rd
Pasadena
CA 91104-3323
Practice Telephone 7135895283
Mailing Telephone 2253151575
Enumeration Date 2019-09-20
Last Update Date 2019-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
95012816 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
95012816 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers SAMANTHA BRUMFIELD

NPI Name Taxonomy Address Enumeration
1770929952 Samantha Elizabeth Brumfield Licensed Practical Nurse 134 E. Market Street, Long Beach, NY 11561 2013-05-15

Office Location

Street Address 5562 CENTRAL AVENUE
SUITE 300
City CHINO
State CA
Zip Code 91762

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City CHINO
Zip Code 91762

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Dataset Information

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.

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