MEDICARE: SAMANTHA I VOLK

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	175T00000X	Peer Specialist
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1912635327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA I VOLK

Provider Business Mailing Address
First Line	:	1701 MISSION AVE STE 230
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058-7110
Country	:	US
Telephone Number	:	760-712-3535
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 MISSION AVE STE 230
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058-7110
Country	:	US
Telephone Number	:	760-712-3535
Fax Number	:

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

Provider Enumeration Date	:	08/12/2022
Last Update Date	:	01/07/2026

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Directions to “ SAMANTHA I VOLK ” Practice Location

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