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MR. SAMUEL ANGELES I
NPI 1205507803
Student in an Organized Health Care Education/Training Program in Columbia, SC

Active since September 23, 2021
1300 WHEAT STREET, COLUMBIA, SC 29208(803) 542-8863 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Samuel Angeles I NPPES

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

MR. SAMUEL ANGELES I (NPI 1205507803) is an individual student in an organized health care education/training program in Columbia, South Carolina and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1205507803
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SAMUEL ANGELES I
Location Address1300 WHEAT STREETColumbia, SC 29208
Mailing Address1300 Wheat StreetColumbia, SC 29208 · (803) 542-8863
Phone(803) 542-8863
Sole ProprietorNo
Enumeration DateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
✔ NPI 1205507803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1300 WHEAT STREET, Columbia, SC 29208
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Other Providers at the Same Location NPPES 6

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

MR. BRAULIO ALEJANDRO FLORES ATC
Specialist/Technologist (Athletic Trainer)
1300 WHEAT STREET
COLUMBIA, SC 29208
Richland County (803) 777-0984
CHRIS THOMPSON JR.
Student in an Organized Health Care Education/Training Program
1300 WHEAT STREET
COLUMBIA, SC 29208
Richland County (404) 610-0445
TAYLOR MALINOVSKY
Student in an Organized Health Care Education/Training Program
1300 WHEAT STREET
COLUMBIA, SC 29208
Richland County (470) 388-4095
DIANDREA MALONE
Student in an Organized Health Care Education/Training Program
1300 WHEAT STREET
COLUMBIA, SC 29208
Richland County (229) 343-9642
LUCAS JACOB WAGONER
Specialist/Technologist (Athletic Trainer)
1300 WHEAT STREET
COLUMBIA, SC 29208
Richland County (704) 743-6122
JENNIFER ANN BEACH SCAT, ATC
Specialist/Technologist (Athletic Trainer)
1300 WHEAT STREET
COLUMBIA, SC 29208
Richland County (240) 687-0620

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 Samuel Angeles's NPI number?

The NPI number for Samuel Angeles is 1205507803. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Where is Samuel Angeles located?

Samuel Angeles practices at 1300 Wheat Street, Columbia, SC 29208. The listed phone number is (803) 542-8863.

What is Samuel Angeles's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Angeles was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.