Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL MADDEN
Active Sole ProprietorSAMUEL MADDEN is a Student (Health Education/Training) healthcare provider located in TRAVIS AFB, California. NPI 1164220075 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · TRAVIS AFB, CA
Registration Details
- NPI Number
- 1164220075
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2025 (1.4147603727812 yrs)
- Last Updated
- Jul 26, 2025
- License
-
D15349 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 BODIN CIR BLDG 777TRAVIS AFB, CA, 945351809Browse CA providers · Browse ZIP 94535
- Phone
- 6126195261
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in TRAVIS AFB, CA
| Name | Credential | NPI |
|---|---|---|
| MS. SHERRY LYNN FRANK | CRNA | 1407047970 |
| DR. MARI MADELEINE METZLER | D.O. | 1700048907 |
| DR. ROBERT LARA TONG | M.D. | 1922236165 |
| URDUJALYN BANALES | — | 1013382522 |
| DR. NICHOLAS ADAMS | MD | 1144854159 |
| DR. TIMOTHY W BOORADY | MD | 1598496812 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.