Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA BACON
Active Sole ProprietorSAMANTHA BACON is a Community Health Worker healthcare provider located in WILLITS, California. NPI 1235014333 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · WILLITS, CA
Registration Details
- NPI Number
- 1235014333
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2025 (0.83715560943544 yrs)
- Last Updated
- Aug 7, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
258 STATE STWILLITS, CA, 954903120Browse CA providers · Browse ZIP 95490
- Phone
- 7073540846
- Fax
- 7073540846
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in WILLITS, CA
| Name | Credential | NPI |
|---|---|---|
| CINDER BENITEZ | — | 1962910422 |
| LUCIA CARRILLO | — | 1679231757 |
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.