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SAM STEFANOS NONE
NPI 1063084614
Rehabilitation Practitioner in San Diego, CA

Active since July 13, 2021
3132 JEFFERSON ST, SAN DIEGO, CA 92110(619) 683-3100 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2026, Jun 9, 2025, Jul 13, 2021 (3 updates tracked since 2021).

About Sam Stefanos None NPPES

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

SAM STEFANOS NONE (NPI 1063084614) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1063084614
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameSAM STEFANOSCredential: NONE
Location Address3132 JEFFERSON STSan Diego, CA 92110-4421
Mailing Address3132 Jefferson StSan Diego, CA 92110-4421
Phone(619) 683-3100
Sole ProprietorNo
Enumeration DateJuly 13, 2021
Last NPPES UpdateApril 27, 20263 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1063084614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
3132 JEFFERSON ST, San Diego, CA 92110
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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.

ISRAEL Q LIM
Licensed Vocational Nurse
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
RICHARD REASON
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
ANTONETTE ROBINSON
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
JESSICA GARDNER
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
SADIA YUSUF
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 318-0518
CLAIRE ELIZABETH WHITE BACHELOR OF SCIENCE
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
GABRIELA BERENICE RIVERA RUIZ
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
SARA ASHLYN GOULD
Social Worker (Clinical)
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100

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 Sam Stefanos's NPI number?

The NPI number for Sam Stefanos is 1063084614. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Sam Stefanos located?

Sam Stefanos practices at 3132 Jefferson St, San Diego, CA 92110. The listed phone number is (619) 683-3100.

What is Sam Stefanos's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Sam Stefanos was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.