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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMUEL BREYFOGLE
NPI 1174430193
Peer Specialist in San Jose, CA

Active since August 25, 2026
425 E SANTA CLARA ST, SAN JOSE, CA 95113(669) 245-3428 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Samuel Breyfogle NPPES

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

SAMUEL BREYFOGLE (NPI 1174430193) is an individual peer specialist in San Jose, California, licensed in California (MPSS-SNUKRO) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1174430193
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSAMUEL BREYFOGLE
Location Address425 E SANTA CLARA STSan Jose, CA 95113-1936
Mailing Address425 E Santa Clara StSan Jose, CA 95113-1936 · (669) 245-3428
Phone(669) 245-3428
Sole ProprietorNo
Enumeration DateAugust 25, 2026
NPPES CertifiedAugust 25, 2026
✔ NPI 1174430193 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-SNUKRO
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.
425 E SANTA CLARA ST, San Jose, CA 95113
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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.

DR. MARIAM SYEDA-QUADRI DO
Psychiatry & Neurology (Psychiatry)
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Santa Clara County (669) 245-3428
THUY T NGUYEN
Rehabilitation Practitioner
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Santa Clara County (669) 245-3428
SHANE SAPUTRA
Registered Nurse
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Santa Clara County (669) 245-3429
KHALEELAH DAWN COATES
Licensed Vocational Nurse
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Santa Clara County (408) 343-9442
JOSEPHINE VALENZUELA
Rehabilitation Practitioner
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Santa Clara County (669) 245-3428
MEGUMI SHIOMI
Social Worker
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Santa Clara County (669) 245-3428
ARIEL UPSON
Peer Specialist
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Santa Clara County (669) 245-3429
BENJAMIN MUNIZ
Rehabilitation Practitioner
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Santa Clara County (408) 502-2935

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 Breyfogle's NPI number?

The NPI number for Samuel Breyfogle is 1174430193. It was assigned to this individual provider in the NPPES registry on August 25, 2026.

Where is Samuel Breyfogle located?

Samuel Breyfogle practices at 425 E Santa Clara St, San Jose, CA 95113. The listed phone number is (669) 245-3428.

What is Samuel Breyfogle's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Breyfogle was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.