Samuel Howard Babkow, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95032701 Issued in CA

Practice address

1293 6TH St
Coachella, CA 92236-1707

Phone

(760) 775-4181

NPI assigned

Nov 5, 2024

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Coachella Valley Care Medical Associates Inc

  • Family Medicine Physician
  • Indio, CA
  • NPI 1811319890
  NPD

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1386467561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41740 TRINITY CIR",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922031274",
            "telephone_number": "760-774-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 6TH ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361707",
            "telephone_number": "760-775-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABKOW",
        "first_name": "SAMUEL",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95032701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apple Urgent Care, Inc (Apple Urgent Care - Coachella)
• Javier Armijo
• Lilia F Armijo
• Ruben Arredondo III
• Jesus Ayala-Aguilera
• Ruby E Barajas
• Maria Guadalupe Barboza Bernabe
• Esmeralda Barraza
• Heather Basye
• Meagan Leah Beavers, NP

• Nurse Practitioner in Coachella, CA
• Providers in Coachella, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.