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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL JESSE NIEVES, IDHS

Active

SAMUEL JESSE NIEVES, IDHS is a Independent Duty Corpsman healthcare provider located in PETALUMA, California. NPI 1922815547 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · PETALUMA, CA

Registration Details

NPI Number
1922815547
Provider Type
Individual
Gender
Male
NPI Issued
Dec 17, 2024 (1.7031556928971 yrs)
Last Updated
Dec 17, 2024

Practice Information

Address
599 TOMALES RD
PETALUMA, CA, 949525002
Browse CA providers · Browse ZIP 94952
Phone
7077657200
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in PETALUMA, CA

Name Credential NPI
TIMOTHY HAMILTON ESTES HS 1922140698
NAOMI VELAZQUEZ HS 1437281888
AMBER NICOLE GONZALES 1538859541
MARK JOHN ORLOWSKI II 1902677503
REECE CHANDLER RAYKOVITZ IDHS 1184456899
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.