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SAMATRA L. ETHRIDGE
NPI 1427802206
Rehabilitation Practitioner in San Diego, CA

Active since April 16, 2024
1011 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108(619) 287-8225 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 17, 2025, Mar 27, 2025, Apr 16, 2024 (3 updates tracked since 2024).

About Samatra L. Ethridge NPPES

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

SAMATRA L. ETHRIDGE (NPI 1427802206) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1427802206
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameSAMATRA L. ETHRIDGE
Location Address1011 CAMINO DEL RIO S STE 300San Diego, CA 92108-3567
Mailing Address1011 Camino Del Rio S Ste 300San Diego, CA 92108-3567 · (619) 890-2633
Phone(619) 287-8225
Sole ProprietorYes
Enumeration DateApril 16, 2024
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1427802206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1011 CAMINO DEL RIO S STE 300, San Diego, CA 92108
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Other Providers at the Same Location NPPES 14

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

ADELLA NICOLE WRAITH
Student in an Organized Health Care Education/Training Program
1011 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-8225
JOSE ANGEL CHAVEZ BA
Rehabilitation Practitioner
1011 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-8225
JAKE WEI HUNG WONG LCSW
Social Worker (Clinical)
1011 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-8225
DIANA TORRES SALINAS
Rehabilitation Practitioner
1011 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 380-1142
MENTAL HEALTH SYSTEMS, INC.
Community/Behavioral Health
1011 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-8225
MR. ANTHONY EDWARD BELTRAN RN
Registered Nurse
1011 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-8225
CASSANDRA ANNE RUE RN
Registered Nurse
1011 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-8225
MARIAM KANNO
Social Worker (Clinical)
1011 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-8225

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 Samatra Ethridge's NPI number?

The NPI number for Samatra Ethridge is 1427802206. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Samatra Ethridge located?

Samatra Ethridge practices at 1011 Camino Del Rio S Ste 300, San Diego, CA 92108. The listed phone number is (619) 287-8225.

What is Samatra Ethridge's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Samatra Ethridge was last updated on June 17, 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.