SAMUEL JEFFERSON
NPI 1548928898
Student in an Organized Health Care Education/Training Program in Camarillo, CA

Active since December 03, 2021
1756 S LEWIS RD, CAMARILLO, CA 93012(805) 383-3669 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Jefferson NPPES

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

SAMUEL JEFFERSON (NPI 1548928898) is an individual student in an organized health care education/training program in Camarillo, California and active in the NPI registry since December 2021. He maintains a secondary practice location in Camarillo.

NPPES Registry Identity

NPI1548928898
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL JEFFERSON
Location Address1756 S LEWIS RDCamarillo, CA 93012-8520
Mailing Address5284 Adolfo Rd Ste 100Camarillo, CA 93012-6790 · (805) 289-0120 · Fax (805) 289-0130
Sole ProprietorNo
Enumeration DateDecember 3, 2021
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1548928898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1756 S LEWIS RD, Camarillo, CA 93012

Secondary Practice Location 1

Location 15284 Adolfo Rd Ste 100Camarillo, CA 93012-6790 · Phone (805) 289-0120 · Fax (805) 289-0130

Other Identifiers 1

Other56CCCA · Aspira

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.

Counselor (Mental Health)
1756 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1756 S LEWIS RD
CAMARILLO, CA 93012
Counselor
1756 S LEWIS RD
CAMARILLO, CA 93012
Counselor
1756 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1756 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1756 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1756 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1756 S LEWIS RD
CAMARILLO, CA 93012

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 Jefferson's NPI number?

The NPI number for Samuel Jefferson is 1548928898. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Samuel Jefferson located?

Samuel Jefferson practices at 1756 S Lewis Rd, Camarillo, CA 93012. The listed phone number is (805) 383-3669.

What is Samuel Jefferson'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 Jefferson was last updated on October 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.