MEDICARE: SAMANTHA PATRICIA KANJOKA-BANDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist		NM

General Provider Information

NPI Number	:	1376408492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA PATRICIA KANJOKA-BANDA

Provider Business Mailing Address
First Line	:	605 NATIONAL AVE APT 2
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-4277
Country	:	US
Telephone Number	:	505-429-8876
Fax Number	:

Provider Business Practice Location Address
First Line	:	208 MILLS AVE # 228
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-4125
Country	:	US
Telephone Number	:	505-302-3222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	12/20/2025

Similar Medicare Providers

1730194499 — LAS VEGAS STAT CARE INC.
Practice Location Address:

260 MILLS AVE
LAS VEGAS, NM
87701-4125

Practice Phone: 505-425-6283
Practice Fax: 505-425-7196

1629084272 — DR. MELQUIADES OLIVARES JR. M.D,
Practice Location Address:

260 MILLS AVE
LAS VEGAS, NM
87701-4125

Practice Phone: 505-425-6731
Practice Fax: 505-454-9193

1326150228 — BIO-MEDICAL APPLICATIONS OF NEW MEXICO, INC.
Practice Location Address:

246 MILLS AVE
LAS VEGAS, NM
87701-4125

Practice Phone: 505-454-7012
Practice Fax: 505-425-3085

1154416584 — MESA MEDICAL LLC
Practice Location Address:

260 MILLS AVE
LAS VEGAS, NM
87701-4125

Practice Phone: 505-425-6731
Practice Fax: 505-454-9193

1609913482 — EYE ASSOCIATES OF NEW MEXICO, LTD.
Practice Location Address:

248 MILLS AVE
LAS VEGAS, NM
87701-4125

Practice Phone: 505-426-8866
Practice Fax: 505-426-8601

1154571412 — ERIN CHRISTINE BYRNE O.D.
Practice Location Address:

248 MILLS AVE
LAS VEGAS, NM
87701-4125

Practice Phone: 505-426-8866
Practice Fax: 505-426-8601

Directions to “ SAMANTHA PATRICIA KANJOKA-BANDA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.