| Samantha Malcomb, LMFT | |
|
3343 Capital Center Dr Ste 200, Rancho Cordova, CA 95670-7370 | |
| (916) 917-8480 | |
| Not Available |
| Full Name | Samantha Malcomb |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 3343 Capital Center Dr Ste 200, Rancho Cordova, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679953160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT122480 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Malcomb, LMFT 670 Placerville Dr Ste 200, Placerville, CA 95667-4200 Ph: (530) 644-2412 | Samantha Malcomb, LMFT 3343 Capital Center Dr Ste 200, Rancho Cordova, CA 95670-7370 Ph: (916) 917-8480 |
Mr. Ronnie Jerome Booker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2801 Aramon Dr, Rancho Cordova, CA 95670 Phone: 916-396-1208 | |
Marlana Marie Pierson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 10421 Abington Way, Rancho Cordova, CA 95670 Phone: 916-400-0636 | |
Mrs. Jennifer Lee Harrington, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2801 Aramon Dr, Rancho Cordova, CA 95670 Phone: 916-361-2089 Fax: 916-361-2091 | |
Miss Janna M. Chin, MA, LMFT128905 Couples Therapy Medicare: Medicare Enrolled Practice Location: 3343 Capital Center Dr Ste 200, Rancho Cordova, CA 95670 Phone: 916-591-9057 | |
Ms. Terri Lynn Ciochetti, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-2198 | |
Leslie O'neill, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11121 Sun Center Dr Ste F, Rancho Cordova, CA 95670 Phone: 916-471-4566 | |
Mrs. Anabel Basulto, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3343 Capital Center Dr Ste 200, Rancho Cordova, CA 95670 Phone: 669-699-2247 |