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

Sam Stefanos, NONE

Individual provider Rehabilitation Practitioner · NPI 1063084614

Sam Stefanos, NONE is a Rehabilitation Practitioner in San Diego, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

3132 Jefferson St
San Diego, CA 92110-4421
Phone: (619) 683-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1063084614
Entity typeIndividual (Type 1)
GenderMale
Credentials NONE
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

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