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

Samuel Bullock

Individual provider Peer Specialist · NPI 1932741782

Samuel Bullock is a Peer Specialist in Santa Fe Springs, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

11015 Bloomfield Ave
Santa Fe Springs, CA 90670-4601
Phone: (562) 906-2676
Show map & directions

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

Additional practice locations (1)

  • 1003 7th Ave, Kirkland, WA 98033-5779 — (425) 658-3016

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-HNATRW (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1932741782
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 14, 2019
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

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