Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891086344 Individual Practitioner Male Practitioner

Dr. John Mar Samples , PHD CCC-SLP

Speech-Language Pathologist • Santa Rosa, CA

Professional Overview & Biography Verified Profile Summary

Dr. John Samples, PHD CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Santa Rosa, CA. Practice services are available at 1212 COLLEGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1212 College Ave
Suite A

Santa Rosa, CA 95404

Telephone 7075421010
Fax 7075423232
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Santa Rosa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
45 Specialists

Practicing in Santa Rosa, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA SP 1429

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Rachel Ivaldi , CCC-SLP

Speech-Language Pathologist

NPI 1821872573

Speech-Language Pathologist (Certificate of Clinical Competence)

Moriah Ray , SLP

Speech-Language Pathologist

NPI 1841983236

Speech-Language Pathologist

Brianna Orme , MS CCC-SLP

Speech-Language Pathologist

NPI 1891543997

MSCCCSLP

Kathryn Williams , CSCD, CCC-SLP

Speech-Language Pathologist

NPI 1942559042

CSCD, Speech-Language Pathologist (Certificate of Clinical Competence)

Jennifer Alwood

Speech-Language Pathologist

NPI 1982352605

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 26, 2021

Registered at 1212 COLLEGE AVE, SUITE A, SANTA ROSA, CA 95404 (Tel: 7075421010)

📍
Updated Business Mailing Address February 26, 2021

Registered at 1535 FARMERS LANE, #319, SANTA ROSA, CA 95405 (Tel: 7075421010)

👤
Provider Name / Credentials Updated February 26, 2021

Recorded as JOHN SAMPLES, PH.D. CCC-SLP

NPI Profile Active May 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2011

Registered at 3859 MONTGOMERY DR, SANTA ROSA, CA 954055244 (Tel: 7075421010)

📍
Updated Business Mailing Address May 02, 2011

Registered at 3859 MONTGOMERY DR, SANTA ROSA, CA 954055244 (Tel: 7075421010)

👤
Provider Name / Credentials Updated May 02, 2011

Recorded as JOHN SAMPLES, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2011

Speech-Language Pathologist (License #SP 1429 in CA)

🟢
Initial NPI Registration & Enumeration May 02, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891086344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2011
Last Update: February 26, 2021
Sole Proprietor: No

Mailing Address

1535 Farmers Lane, #319

Santa Rosa, CA 95405

Phone: 7075421010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.