Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Bacon

Individual provider Community Health Worker · NPI 1235014333

Samantha Bacon is a Community Health Worker in Willits, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

258 State St
Willits, CA 95490-3120
Phone: (707) 354-0846
Fax: (707) 354-0846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1235014333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address455 Cypress Ave, Ukiah, CA 95482-3921

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