Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Mae Hietalati, MD

Individual provider Pediatrics Physician · NPI 1245617489

Samantha Mae Hietalati, MD is a Pediatrics Physician in San Diego, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3010 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 966-5818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 W Arbor Dr, San Diego, CA 92103-9000 — (800) 926-8273
  • 3750 Convoy St Ste 312, San Diego, CA 92111-3741 — (800) 926-8273

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence A162427 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A162427 (CA)

Record details

NPI number1245617489
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2015
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

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