SAMANTHA BACON
NPI 1235014333
Community Health Worker in Willits, CA

Active since August 07, 2025
258 STATE ST, WILLITS, CA 95490(707) 354-0846(707) 354-0846 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Bacon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA BACON (NPI 1235014333) is an individual community health worker in Willits, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1235014333
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameSAMANTHA BACON
Location Address258 STATE STWillits, CA 95490-3120
Mailing Address455 Cypress AveUkiah, CA 95482-3921 · (707) 354-0846 · Fax (707) 354-0846
Fax(707) 354-0846
Sole ProprietorYes
Enumeration DateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
NPI 1235014333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
258 STATE ST, Willits, CA 95490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Bacon's NPI number?

The NPI number for Samantha Bacon is 1235014333. It was assigned to this individual provider in the NPPES registry on August 7, 2025.

Where is Samantha Bacon located?

Samantha Bacon practices at 258 State St, Willits, CA 95490. The listed phone number is (707) 354-0846.

What is Samantha Bacon's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Samantha Bacon was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.