Mission Samoa Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MISSION SAMOA INC

Practice address

1200 Western St Ste B
Fairfield, CA 94533-2474

Phone

(707) 399-9209

Fax

(707) 399-9209

NPI assigned

Mar 11, 2026

Organization subpart

No

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

Authorized official

Name

Clifford Lelikona Parker, CRISIS COUNSELOR

Title

Program Manager

Phone

(707) 399-9209

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1235086042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTERN ST STE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945332474",
            "telephone_number": "707-399-9209",
            "fax_number": "707-399-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTERN ST STE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945332474",
            "telephone_number": "707-399-9209",
            "fax_number": "707-399-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION SAMOA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "LELIKONA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "707-399-9209",
        "authorized_official_credential": "CRISIS COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Miner
• Courtney M Minor, WHNP
• Martin A Miranda
• Timothy Miranda
• Kristi Shruthi Mishra
• Amanda Mitchell
• Briana Marie Mitchell, NP
• Deseray Marie Mitchell
• Julie E Mitchell
• Monica Mitchell

• Case Management Agency in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.