Healthcare Provider Details

I. General information

NPI: 1730035585
Provider Name (Legal Business Name): TAMETRIA SAMMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CALIFORNIA ST STE 2300
SAN FRANCISCO CA
94111-5424
US

IV. Provider business mailing address

1 CALIFORNIA ST STE 2300
SAN FRANCISCO CA
94111-5424
US

V. Phone/Fax

Practice location:
  • Phone: 855-431-5533
  • Fax:
Mailing address:
  • Phone: 855-431-5533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number16967
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: