Individual provider · Type 1 NPI

Samantha Shtockmaster

Student in an Organized Health Care Education/Training Program · Newport Beach, CA

NPI number 1780505057 Active

Practice location

4740 Von Karman Ave Ste 120
Newport Beach, CA 92660-2172

Call (949) 910-3197 Map

Mailing address

23 Ashford
Irvine, CA 92618-3913

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780505057

Samantha Shtockmaster's National Provider Identifier is 1780505057, issued on Jul 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 23, 2026.