Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Grantley Samuels Sr.

Individual provider Rehabilitation Practitioner · NPI 1124577002

Grantley Samuels Sr. is a Rehabilitation Practitioner in San Francisco, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1263 Mission St
San Francisco, CA 94103-2705
Phone: (415) 650-6064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 19786 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1124577002
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2016
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

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