SAM XAVANNA CASE MANAGER
NPI 1184962151
Day Training/Habilitation Specialist in Alhambra, CA

Active since January 24, 2013
1635 W MAIN ST, ALHAMBRA, CA 91801(626) 248-1800 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2025, Aug 18, 2023, Jun 9, 2023 (3 updates tracked since 2023).

About Sam Xavanna Case Manager NPPES

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

SAM XAVANNA CASE MANAGER (NPI 1184962151) is an individual day training/habilitation specialist in Alhambra, California and active in the NPI registry since January 2013. He maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1184962151
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameSAM XAVANNACredential: CASE MANAGER
Location Address1635 W MAIN STAlhambra, CA 91801-1951
Mailing Address1635 W Main StAlhambra, CA 91801-1951 · (626) 248-1800
Sole ProprietorNo
Enumeration DateJanuary 24, 2013
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
NPI 1184962151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
1635 W MAIN ST, Alhambra, CA 91801

Secondary Practice Location 1

Location 1605 W Olympic Blvd Ste 550Los Angeles, CA 90015-1474 · Phone (213) 553-1850 · Fax (213) 383-3146

Other Providers at the Same Location NPPES 2

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

Student in an Organized Health Care Education/Training Program
1635 W MAIN ST
ALHAMBRA, CA 91801
Social Worker (Clinical)
1635 W MAIN ST
ALHAMBRA, CA 91801

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 Sam Xavanna's NPI number?

The NPI number for Sam Xavanna is 1184962151. It was assigned to this individual provider in the NPPES registry on January 24, 2013.

Where is Sam Xavanna located?

Sam Xavanna practices at 1635 W Main St, Alhambra, CA 91801. The listed phone number is (626) 248-1800.

What is Sam Xavanna's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Sam Xavanna was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.