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NPI Code Detail

MEDICARE: SAMANTHA J ROGERS

MEDICARE: SAMANTHA J ROGERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1053151431
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA J ROGERS
Provider Business Mailing Address
First Line : 200 7TH AVE STE 150
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-4669
Country : US
Telephone Number : 831-462-1060
Fax Number :
Provider Business Practice Location Address
First Line : 125 RIGG ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-4203
Country : US
Telephone Number : 831-469-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2024
Last Update Date : 05/11/2026

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Directions to “ SAMANTHA J ROGERS ” Practice Location

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