GABRIEL ISAAC SAMARA - NPI 1467236281 - Peer Specialist in Santa Cruz, CA

Q: What is Gabriel Samara's NPI number?

The NPI number for Gabriel Samara is 1467236281. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Q: What is Gabriel Samara's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Gabriel Samara was last updated on August 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Gabriel Isaac Samara NPPES

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

GABRIEL ISAAC SAMARA (NPI 1467236281) is an individual peer specialist in Santa Cruz, California, licensed in California (MPSS-HXIWJU) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1467236281

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameGABRIEL ISAAC SAMARA

Location Address1201 SHAFFER RD BLDG 1Santa Cruz, CA 95060-5761

Mailing Address113 Cypress Ave Apt BSanta Cruz, CA 95062-3710 · (831) 529-5034

Phone(831) 888-6007

Sole ProprietorNo

Enumeration DateAugust 22, 2023

NPPES CertifiedAugust 22, 2023

✔ NPI 1467236281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-HXIWJU

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

1201 SHAFFER RD BLDG 1, Santa Cruz, CA 95060

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