WATHANA SAM
NPI 1790516102
Counselor - School in Stockton, CA
About Wathana Sam NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WATHANA SAM (NPI 1790516102) is an individual school provider in Stockton, California and active in the NPI registry since August 2024.
NPPES Registry Identity
Specialties & Licenses
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 Wathana Sam's NPI number?
The NPI number for Wathana Sam is 1790516102. It was assigned to this individual provider in the NPPES registry on August 8, 2024.
Where is Wathana Sam located?
Wathana Sam practices at 1315 Woodcreek Way, Stockton, CA 95209. The listed phone number is (209) 817-2921.
What is Wathana Sam's specialty?
The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.
When was this NPI record last updated?
The NPPES record for Wathana Sam was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Wathana Sam · NPI 1790516102
School provider in Stockton, California. Individual provider, active in the CMS NPPES registry since August 8, 2024.
## Identity
- **NPI:** 1790516102 (Entity type: Individual)
- **Enumerated:** August 8, 2024
- **Primary specialty:** Counselor - School · taxonomy 101YS0200X
- **Sole proprietor:** No
## Practice location
- **Address:** 1315 WOODCREEK WAY, Stockton, CA 95209-2050
- **Phone:** (209) 817-2921
## Record status
- **NPPES last updated:** August 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790516102) · Data from the CMS NPPES public registry.