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SAMUEL E MIZYED
NPI 1003634049
Student in an Organized Health Care Education/Training Program in Alameda, CA

Active since September 30, 2024
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501(510) 337-7950 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Jun 24, 2025, Sep 30, 2024 (3 updates tracked since 2024).

About Samuel E Mizyed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL E MIZYED (NPI 1003634049) is an individual student in an organized health care education/training program in Alameda, California and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1003634049
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL E MIZYED
Location Address1080 MARINA VILLAGE PKWY STE 100Alameda, CA 94501-1078
Mailing Address1479 Marlin AveFoster City, CA 94404-1448 · (650) 346-5949
Phone(510) 337-7950
Sole ProprietorYes
Enumeration DateSeptember 30, 2024
Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1003634049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1080 MARINA VILLAGE PKWY STE 100, Alameda, CA 94501
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRIA MARIE GARCIA
Student in an Organized Health Care Education/Training Program
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 306-5660
MEG KATHERINE LEWIS RN
Registered Nurse
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
BETHANY MARIE RACHEL AMFT
Marriage & Family Therapist
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
BREANA WILES LCSW
Social Worker (Clinical)
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 217-2329
ROBBIE KUPONO KENOBI LCSW
Social Worker (Clinical)
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
KAUMAYA HALL
Rehabilitation Counselor
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
JEAN CLAUDINE OCTAVIANO ABAC RAIMONDI
Registered Nurse
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
JOSEPH FERRER
Specialist
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Mizyed's NPI number?

The NPI number for Samuel Mizyed is 1003634049. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Samuel Mizyed located?

Samuel Mizyed practices at 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501. The listed phone number is (510) 337-7950.

What is Samuel Mizyed's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Mizyed was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.