Individual provider · Type 1 NPI

Samantha Marie Amezcua

Peer Specialist · Long Beach, CA

NPI number 1861367542 Active

Practice location

2101 Magnolia Ave
Long Beach, CA 90806-4521

Call (562) 218-1868 Map

Mailing address

863 N Vail Ave
Montebello, CA 90640-2432

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-QTHDYJ (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1861367542

Samantha Marie Amezcua's National Provider Identifier is 1861367542, issued on Oct 10, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Long Beach, CA. The record was last updated on Oct 24, 2025.