| Samantha Thomas, | |
|
12495 Limonite Ave # 1095, Eastvale, CA 91752-2457 | |
| (909) 328-6410 | |
| (909) 265-9425 |
| Full Name | Samantha Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 12495 Limonite Ave # 1095, Eastvale, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417551169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95016064 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95016064 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Seven Star Hospital Associates Inc | 4789083338 | 112 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Providence Healthcare Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699157701 PECOS PAC ID: 2163723610 Enrollment ID: O20151229000900 |
| Entity Name | Seven Star Hospital Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Thomas, 12495 Limonite Ave # 1095, Eastvale, CA 91752-2457 Ph: (909) 328-6410 | Samantha Thomas, 12495 Limonite Ave # 1095, Eastvale, CA 91752-2457 Ph: (909) 328-6410 |
Mr. Ronald Allan Ramos Torres, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5805 Larry Dean St, Eastvale, CA 92880 Phone: 909-342-8976 | |
Anglae B Ojeda, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12742 Limonite Ave, Eastvale, CA 92880 Phone: 951-739-2740 | |
Mr. Erik James Purcell, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7021 Barwick Ct, Eastvale, CA 92880 Phone: 909-260-8756 | |
Mr. Isagani Ignacio Marquez Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6615 Canter Cove Ct, Eastvale, CA 92880 Phone: 909-255-5348 | |
Mr. Jay Santillana Lardizabal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6595 Cantata Dr, Eastvale, CA 92880 Phone: 951-987-1133 | |
Heather Jean Clifford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14277 Grayling Dr, Eastvale, CA 92880 Phone: 714-376-3335 | |
Edna Chidinma Ibekwe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7107 Riverboat Dr, Eastvale, CA 91752 Phone: 951-332-1143 |