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MALIK MARQUEZ SAMPSON
NPI 1639713654
Student in an Organized Health Care Education/Training Program in Bruceton, TN

Active since November 01, 2019
29639 BROAD ST, BRUCETON, TN 38317(925) 727-3712 Get Directions Write a Review

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

Record update history: Oct 7, 2025, Nov 1, 2019 (2 updates tracked since 2019).

About Malik Marquez Sampson NPPES

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

MALIK MARQUEZ SAMPSON (NPI 1639713654) is an individual student in an organized health care education/training program in Bruceton, Tennessee and active in the NPI registry since November 2019. He maintains a secondary practice location in Culver City.

NPPES Registry Identity

NPI1639713654
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMALIK MARQUEZ SAMPSON
Location Address29639 BROAD STBruceton, TN 38317-2203
Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 945-3356
Phone(925) 727-3712
Sole ProprietorNo
Enumeration DateNovember 1, 2019
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1639713654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
29639 BROAD ST, Bruceton, TN 38317
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Secondary Practice Location 1

Location 19808 Venice Blvd Ste 700Culver City, CA 90232-6824 · Phone (310) 945-3350 · Fax (310) 945-3356

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY THOMPSON
Behavior Technician
29639 BROAD ST
BRUCETON, TN 38317
Carroll County (925) 727-3712
BROOKE WESTON
Behavior Technician
29639 BROAD ST
BRUCETON, TN 38317
Carroll County (925) 727-3712
REBECCA HENDERSON
Behavior Technician
29639 BROAD ST
BRUCETON, TN 38317
Carroll County (925) 727-3712
ASHLEN RUDOLPH
Behavior Technician
29639 BROAD ST
BRUCETON, TN 38317
Carroll County (925) 727-3712
ROBERT YELLAND
Behavior Technician
29639 BROAD ST
BRUCETON, TN 38317
Carroll County (925) 727-3712
HANNAH CASTELL
Behavior Technician
29639 BROAD ST
BRUCETON, TN 38317
Carroll County (925) 727-3712
JESSICA GALLER
Behavior Technician
29639 BROAD ST
BRUCETON, TN 38317
Carroll County (925) 727-3712
COURTNEY REESE
Behavior Technician
29639 BROAD ST
BRUCETON, TN 38317
Carroll County (925) 727-3712

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 Malik Sampson's NPI number?

The NPI number for Malik Sampson is 1639713654. It was assigned to this individual provider in the NPPES registry on November 1, 2019.

Where is Malik Sampson located?

Malik Sampson practices at 29639 Broad St, Bruceton, TN 38317. The listed phone number is (925) 727-3712.

What is Malik Sampson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Malik Sampson was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.