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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK SHAWN SAMUEL
NPI 1184402083
Nurse Practitioner - Family in Los Angeles, CA

Active since September 20, 2023
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073(661) 992-6212 Get Directions Write a Review

NPPES record last updated: August 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Shawn Samuel NPPES

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

MARK SHAWN SAMUEL (NPI 1184402083) is an individual family provider in Los Angeles, California, licensed in California (95028358) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1184402083
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARK SHAWN SAMUEL
Location Address11301 WILSHIRE BLVDLos Angeles, CA 90073-1003
Mailing Address11301 Wilshire BlvdLos Angeles, CA 90073-1003
Phone(661) 992-6212
Sole ProprietorNo
Enumeration DateSeptember 20, 2023
Last NPPES UpdateAugust 8, 2026
NPPES CertifiedAugust 8, 2026
✔ NPI 1184402083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95028358✔ Licensed in WA · AP61477587
11301 WILSHIRE BLVD, Los Angeles, CA 90073
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Other Providers at the Same Location NPPES 20

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

JOANNA ZUHAIL CENTENO I
Licensed Vocational Nurse
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MS. APRIL S. BULLOCK MSW,ACSW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 268-3000
NICOLE CHAN LISW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 487-6026
DANIEL SMEE SOCIAL WORK
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
AMANDA SALVESTRINI MS, RD
Dietitian, Registered
11301 WILSHIRE BLVD, BUILDING 213. 3RD FLOOR. ROOM 317.
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
RACHEL DAJANI MD
Internal Medicine
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
HARRISON BODRIE LCSW
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 987-8310
MR. ROBERTO CARMONA-VERGARA ASW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711

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 Mark Samuel's NPI number?

The NPI number for Mark Samuel is 1184402083. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Mark Samuel located?

Mark Samuel practices at 11301 Wilshire Blvd, Los Angeles, CA 90073. The listed phone number is (661) 992-6212.

What is Mark Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mark Samuel was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.