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SAMANTHA TAN M.S. CCC-SLP, CLC
NPI 1114485570
Speech-Language Pathologist in Camarillo, CA

Active since March 05, 2019
400 W VENTURA BLVD STE 150, CAMARILLO, CA 93010(805) 383-1497(805) 383-1498 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2022, Oct 3, 2022, Aug 18, 2022 and 1 more (4 updates tracked since 2019).

About Samantha Tan M.s. Ccc-slp, Clc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA TAN M.S. CCC-SLP, CLC (NPI 1114485570) is an individual speech-language pathologist provider in Camarillo, California and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1114485570
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSAMANTHA TANCredential: M.S. CCC-SLP, CLC
Location Address400 W VENTURA BLVD STE 150Camarillo, CA 93010-9140
Mailing Address12168 Monogram AveGranada Hills, CA 91344-2609
Phone(805) 383-1497
Fax(805) 383-1498
Sole ProprietorNo
Enumeration DateMarch 5, 2019
Last NPPES UpdateOctober 11, 20224 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1114485570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Also ListedSpecialistTaxonomy 174400000X
400 W VENTURA BLVD STE 150, Camarillo, CA 93010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA PATRICK
Behavior Technician
400 W VENTURA BLVD STE 150
CAMARILLO, CA 93010
Ventura County (805) 383-1497
ITZIANY ROJAS
Occupational Therapy Assistant
400 W VENTURA BLVD STE 150
CAMARILLO, CA 93010
Ventura County (805) 383-1497
JENNA ROSE KOZIOL SLP-CCC
Speech-Language Pathologist
400 W VENTURA BLVD STE 150
CAMARILLO, CA 93010
Ventura County (805) 383-1497
LORIE LYN LOZANO
Behavior Technician
400 W VENTURA BLVD STE 150
CAMARILLO, CA 93010
Ventura County (805) 383-1497
EMMA WOLTERS
Behavior Technician
400 W VENTURA BLVD STE 150
CAMARILLO, CA 93010
Ventura County (805) 383-1497
EMILY KAWAGUCHI
Speech-Language Pathologist
400 W VENTURA BLVD STE 150
CAMARILLO, CA 93010
Ventura County (805) 383-1497
NOA SABAG COTA
Occupational Therapy Assistant
400 W VENTURA BLVD STE 150
CAMARILLO, CA 93010
Ventura County (805) 383-1497
MICHELLE L CANO MOT OTR/L
Occupational Therapist
400 W VENTURA BLVD STE 150
CAMARILLO, CA 93010
Ventura County (805) 383-1497

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Tan's NPI number?

The NPI number for Samantha Tan is 1114485570. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Samantha Tan located?

Samantha Tan practices at 400 W Ventura Blvd Ste 150, Camarillo, CA 93010. The listed phone number is (805) 383-1497.

What is Samantha Tan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Samantha Tan accept?

Health plans from Ambetter from Arizona Complete Health list Samantha Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Tan was last updated on October 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.