Provider Demographics
NPI:1699667824
Name:HARPER-ALVAREZ, SAMANTHA ALEXANDRIA I
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:ALEXANDRIA
Last Name:HARPER-ALVAREZ
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N WHISMAN RD APT 2512
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-4923
Mailing Address - Country:US
Mailing Address - Phone:725-219-7274
Mailing Address - Fax:
Practice Address - Street 1:1700 S AMPHLETT BLVD STE 120
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2711
Practice Address - Country:US
Practice Address - Phone:650-850-9453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker