MR. SAMUEL HARDY GILKEY
NPI 1104786219
Peer Specialist in San Diego, CA

Q: What is Samuel Gilkey's NPI number?

The NPI number for Samuel Gilkey is 1104786219. It was assigned to this individual provider in the NPPES registry on November 12, 2025.

Q: What is Samuel Gilkey's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Gilkey was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 12, 2025

2865 LOGAN AVE, SAN DIEGO, CA 92113(619) 232-4357 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2025, Nov 12, 2025 (2 updates tracked since 2025).

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About Mr. Samuel Hardy Gilkey NPPES

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

MR. SAMUEL HARDY GILKEY (NPI 1104786219) is an individual peer specialist in San Diego, California, licensed in California (MPSS-NOTJUY) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1104786219

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. SAMUEL HARDY GILKEY

Location Address2865 LOGAN AVESan Diego, CA 92113-2411

Mailing Address2865 Logan AveSan Diego, CA 92113-2411 · (619) 232-4357

Phone(619) 232-4357

Sole ProprietorNo

Enumeration DateNovember 12, 2025

Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1104786219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-NOTJUY

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

2865 LOGAN AVE, San Diego, CA 92113

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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.

DIONE TAYLOR

Counselor (Mental Health)