MEDICARE: DAMARIS WAMBUI WAIYAKI

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	104100000X	Social Worker	96629	CA

General Provider Information

NPI Number	:	1952891145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMARIS WAMBUI WAIYAKI

Provider Business Mailing Address
First Line	:	177 MAJORCA CIR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-6614
Country	:	US
Telephone Number	:	916-889-2152
Fax Number	:

Provider Business Practice Location Address
First Line	:	3440 VIKING DR STE 114
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2844
Country	:	US
Telephone Number	:	916-364-8395
Fax Number	:

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

Provider Enumeration Date	:	05/14/2018
Last Update Date	:	01/15/2026

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