Individual provider Active NPI

Samantha Emi Walker, M.S.

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1023284049
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT80296 Issued in CA
Practice address
1702 E Bullard Ave Ste 102
Fresno, CA 93710
Phone
(559) 765-6076
Fax
(559) 821-1169
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT80296 CA Primary

Addresses

Primary practice location

1702 E Bullard Ave Ste 102
Fresno, CA 93710

Mailing address

1702 E Bullard Ave Ste 102
Fresno, CA 93710-5800
Phone (559) 765-6076

Other practice location 1

1470 W Herndon Ave
Sutie 300
Fresno, CA 93711-0552
Phone (559) 256-2000 ext. 207

Other names 1

  • Samantha Emi Baba Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260626002441 CA Practitioner - Marriage and Family Therapist 7012480429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

1534 Hanson Ave
Clovis, CA 93611-6924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LMFT80296CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Psychological Institute Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1023284049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 E BULLARD AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105800",
            "telephone_number": "559-765-6076",
            "fax_number": "559-821-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 E BULLARD AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-765-6076",
            "fax_number": "559-821-1169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1470 W Herndon Ave",
            "address_2": "Sutie 300",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937110552",
            "country_code": "US",
            "telephone_number": "559-256-2000 x207",
            "fax_number": "559-256-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SAMANTHA",
        "middle_name": "EMI",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT80296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BABA",
            "middle_name": "EMI",
            "credential": "B.A., M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.