Active NPI
Samantha Emi Walker, M.S.
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1023284049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT80296
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT80296 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Rancho Cucamonga, CA
- NPI 1417718297
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1821179276
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.