Samantha Malcomb, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT122480 Issued in CA

Practice address

3343 Capital Center Dr Ste 200
Rancho Cordova, CA 95670-7370

Phone

(916) 917-8480

NPI assigned

Jun 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• 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 and National Provider Directory roles.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1679953160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PLACERVILLE DR STE 200",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674200",
            "telephone_number": "530-644-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 CAPITAL CENTER DR STE 200",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707370",
            "telephone_number": "916-917-8480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Placerville Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Placerville",
            "state": "CA",
            "postal_code": "956674200",
            "country_code": "US",
            "telephone_number": "530-644-2412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3815 Marconi Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958213867",
            "country_code": "US",
            "telephone_number": "916-917-8480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9343 Tech Center Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262563",
            "country_code": "US",
            "telephone_number": "916-917-8480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7171 Bowling Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95823",
            "country_code": "US",
            "telephone_number": "916-917-8480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Cameron Park Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956827652",
            "country_code": "US",
            "telephone_number": "916-917-8480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALCOMB",
        "first_name": "SAMANTHA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT122480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3343 Capital Center Dr Ste 200",
            "city": "Rancho Cordova",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956707370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Maduri
• Tarick Mahmoud
• Seipati Sasha Makhobeng
• Divya Makin, MD
• David Bryant Malarkey II, RN
• Eve T Mallillin
• Alyssa Ashley Mandich
• Doris Manford
• Ridhima Mann, PHARM.D
• Mannat Assisted Living

• Marriage & Family Therapist in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.