SAMRIDDHI GAUTAM


Address: 44725 10th St W Ste 170, Lancaster, CA 93534-3000
Phone: 6617263724

SAMRIDDHI GAUTAM (NPI# 1558908533) 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) 1558908533
Entity Type Individual
Full Name SAMRIDDHI GAUTAM
Credential NP
Practice Address 44725 10th St W Ste 170
Lancaster
CA 93534-3000
Practice Telephone 6617263724
Enumeration Date 2019-12-09
Last Update Date 2019-12-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
95012829 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 44725 10TH ST W STE 170
City LANCASTER
State CA
Zip Code 93534-3000

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NPI Name Taxonomy Address Enumeration
1194346098 Lori Ann Barlow Washington Counselor 921 W J Street, Lancaster, CA 93534 2020-05-01
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1124668470 Latonya Jean Allen Case Manager/Care Coordinator 44443 10th St. West, Lancaster, CA 93534 2020-01-14
1629629746 Korinna Fite Occupational Therapy Assistant 43860 10th St. W., Lancaster, CA 93534 2019-09-20
1114576105 Victor Nemr Hass Md Anesthesiology Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 2019-09-11
1609421007 Jaime A Mort Nurse Practitioner 43112 N 15st W, Lancaster, CA 93534 2019-08-03
1013560747 Allyson Lods Dietitian, Registered 43115 15th Street West, Lancaster, CA 93534 2019-07-22
1144884123 Nicole Breanne Palman Speech-Language Pathologist 43860 10th St. West, 1st Floor, Lancaster, CA 93534 2019-04-25
1841761475 Vanessa Gonzalez Case Manager/Care Coordinator 44226 10th St West, Lancaster, CA 93534 2018-12-07
1760969265 Marilyn Joy Pollack Physical Therapy Assistant 1306 W Avenue J Ste 2, Lancaster, CA 93534 2018-07-26
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588182950 Bryan E Paradise Nurse Practitioner 540 N Duke St Ste 244, Lancaster, PA 17602-2374 2017-09-06
1699314054 Megan Slover Nurse Practitioner 540 N Duke St Ste 244, Lancaster, PA 17602-2374 2020-01-03
1841836848 Jennifer M Williams Nurse Practitioner 800 W Meeting St, Lancaster, SC 29720-2202 2019-11-25
1508402876 Erin Leigh Cornman Nurse Practitioner 555 N Duke St Fl 3, Lancaster, PA 17602-2250 2019-11-21
1245872936 Jill Mcgrath Nurse Practitioner 800 W Meeting St, Lancaster, SC 29720-2202 2019-10-14
1437790490 Leah M Terry Nurse Practitioner 108 Healthcare Dr, Lancaster, SC 29720-8037 2019-10-01
1205308400 Douglas E Agard Nurse Practitioner 540 N Duke St Ste 244, Lancaster, PA 17602-2374 2018-12-28
1336660737 Jessi Rae Eno-jones Nurse Practitioner 555 N Duke St, Lancaster, PA 17602-2250 2017-07-06
1912443003 Lilibeth Bianes Nurse Practitioner 43112 15th St W, Lancaster, CA 93534-6219 2017-01-12
1437500683 Allison M Sileo Nurse Practitioner 2110 Harrisburg Pike, Suite 310, Lancaster, PA 17601-2644 2016-06-29
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Competitor

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City LANCASTER
Zip Code 93534

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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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