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SAMUEL BULLOCK
NPI 1932741782
Peer Specialist in Santa Fe Springs, CA

Active since October 14, 2019
11015 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670(562) 906-2676 Get Directions Write a Review

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

Record update history: Jan 16, 2026, Oct 14, 2019 (2 updates tracked since 2019).

About Samuel Bullock NPPES

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

SAMUEL BULLOCK (NPI 1932741782) is an individual peer specialist in Santa Fe Springs, California, licensed in California (MPSS-HNATRW) and active in the NPI registry since October 2019. He maintains a secondary practice location in Kirkland.

NPPES Registry Identity

NPI1932741782
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSAMUEL BULLOCK
Location Address11015 BLOOMFIELD AVESanta Fe Springs, CA 90670-4601
Mailing Address1003 7th AveKirkland, WA 98033-5779 · (425) 658-3016
Phone(562) 906-2676
Sole ProprietorNo
Enumeration DateOctober 14, 2019
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1932741782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-HNATRW
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
11015 BLOOMFIELD AVE, Santa Fe Springs, CA 90670
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Secondary Practice Location 1

Location 11003 7th AveKirkland, WA 98033-5779 · Phone (425) 658-3016 ext. 42565

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.

ARACELI ARREVILLAGA
Counselor (Addiction (Substance Use Disorder))
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2676
ELVIA MACIAS
Counselor (Addiction (Substance Use Disorder))
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2676
JESSICA COGHLAN
Counselor (Addiction (Substance Use Disorder))
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2676
RAQUEL OLIVAREZ
Peer Specialist
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2676
JASON KEATON
Counselor (Addiction (Substance Use Disorder))
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2676
NATALIE WOLFS MSW
Social Worker
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 868-6500
RACHEL GREENBERG
Counselor (Addiction (Substance Use Disorder))
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2676
ALI RIZVI
Emergency Medical Technician, Paramedic
11015 BLOOMFIELD AVE
SANTA FE SPGS, CA 90670
Los Angeles County (562) 906-2676

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 Bullock's NPI number?

The NPI number for Samuel Bullock is 1932741782. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Samuel Bullock located?

Samuel Bullock practices at 11015 Bloomfield Ave, Santa Fe Springs, CA 90670. The listed phone number is (562) 906-2676.

What is Samuel Bullock'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 Bullock was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.