1. Home
  2. Directory
  3. California
  4. Bloomington
  5. Counselor
  6. NPI Profile

SAMUEL DUDLEY
NPI 1669074142
Counselor - Addiction (Substance Use Disorder) in Bloomington, CA

Active since November 10, 2020
18612 SANTA ANA AVE, BLOOMINGTON, CA 92316(909) 421-7120 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Dudley NPPES

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

SAMUEL DUDLEY (NPI 1669074142) is an individual addiction (substance use disorder) provider in Bloomington, California and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1669074142
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSAMUEL DUDLEY
Location Address18612 SANTA ANA AVEBloomington, CA 92316-2639
Mailing Address18612 Santa Ana AveBloomington, CA 92316-2639 · (909) 421-7120
Phone(909) 421-7120
Sole ProprietorNo
Enumeration DateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1669074142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
18612 SANTA ANA AVE, Bloomington, CA 92316
Open in Google Maps ↗

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.

GEORGINA LISA SANCHEZ
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
MR. JAMES B ENTZ MFT
Marriage & Family Therapist
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
KEIANA DOBSON
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
SAMANTHA PINEDA
Licensed Vocational Nurse
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (840) 220-9529
NICHOLAS SMITH
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
TAMMY AHUMADA
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
KENNEDY ODERO
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
LEAH BOYD
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120

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 Dudley's NPI number?

The NPI number for Samuel Dudley is 1669074142. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Samuel Dudley located?

Samuel Dudley practices at 18612 Santa Ana Ave, Bloomington, CA 92316. The listed phone number is (909) 421-7120.

What is Samuel Dudley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Samuel Dudley was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.