Active NPI
Samantha Ayanna Walker
- Social Worker
- Anaheim, CA
National Provider Identifier
1407593379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 116168
- Practice address
- 1360 S Anaheim Blvd
Anaheim, CA 92805-6205 - Phone
- (714) 948-7641
- Fax
- (714) 689-1381
- NPI assigned
- May 12, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 116168 | CA | Primary |
Addresses
Primary practice location
1360 S Anaheim Blvd
Anaheim, CA 92805-6205
Mailing address
510 S 2ND Ave
Covina, CA 91723-3017
Phone (626) 974-8123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116168 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1407593379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S 2ND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233017",
"telephone_number": "626-974-8123",
"fax_number": "626-974-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 S ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056205",
"telephone_number": "714-948-7641",
"fax_number": "714-689-1381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SAMANTHA",
"middle_name": "AYANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "116168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.