SAMANTHA MARIE BERGGREN DPM
NPI 1407658354
Student in an Organized Health Care Education/Training Program in Santa Clara, CA
About Samantha Marie Berggren Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA MARIE BERGGREN DPM (NPI 1407658354) is an individual student in an organized health care education/training program in Santa Clara, California and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Marie Berggren Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
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 Berggren's NPI number?
The NPI number for Samantha Berggren is 1407658354. It was assigned to this individual provider in the NPPES registry on March 24, 2025.
Where is Samantha Berggren located?
Samantha Berggren practices at 710 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (480) 851-1000.
What is Samantha Berggren's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samantha Berggren enrolled in Medicare?
Yes. Samantha Berggren is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samantha Berggren was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Samantha Marie Berggren, DPM · NPI 1407658354
Student in an Organized Health Care Education/Training Program provider in Santa Clara, California. Individual provider, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1407658354 (Entity type: Individual)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 710 LAWRENCE EXPY, Santa Clara, CA 95051-5173
- **Phone:** (480) 851-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407658354) · Data from the CMS NPPES public registry.