Provider Demographics
NPI:1891337176
Name:FIGUEROA, SAMANTHA (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22253 HAYNES ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91303-2423
Mailing Address - Country:US
Mailing Address - Phone:818-917-9197
Mailing Address - Fax:
Practice Address - Street 1:100 AVOCADO PL
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-8467
Practice Address - Country:US
Practice Address - Phone:949-327-1151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-08
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011944363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics