MEDICARE: JOHANA SAMAYOA

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
1	373H00000X	Day Training/Habilitation Specialist
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1114646866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANA SAMAYOA

Provider Business Mailing Address
First Line	:	782 CALMAE DR
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93535-3232
Country	:	US
Telephone Number	:	661-406-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	9517 REA AVE
Second Line	:
City	:	CALIFORNIA CITY
State	:	CA
Zip	:	93505-4831
Country	:	US
Telephone Number	:	661-406-0100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2022
Last Update Date	:	01/13/2026

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Directions to “ JOHANA SAMAYOA ” Practice Location

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