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

Sam Hustis

Individual provider Case Manager/Care Coordinator · NPI 1891817466

Sam Hustis is a Case Manager/Care Coordinator in Petaluma, California. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

365 Kuck Ln
Petaluma, CA 94952-9606
Phone: (510) 725-7963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1891817466
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address4545 Reinhardt Dr, Oakland, CA 94619-2970

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