Healthcare Provider Details

I. General information

NPI: 1952688830
Provider Name (Legal Business Name): SAMANDA DURAND D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2011
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 MERCANTILE DR
RANCHO CORDOVA CA
95742-6518
US

IV. Provider business mailing address

8690 SIERRA COLLEGE BLVD STE 160-306
ROSEVILLE CA
95661-5961
US

V. Phone/Fax

Practice location:
  • Phone: 916-817-1462
  • Fax:
Mailing address:
  • Phone: 650-262-3052
  • Fax: 775-982-4595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP1747
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number18079
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO1912
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberBP100033437
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS016598
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberDO1912
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: