Active NPI
Samuel Torres
- Phlebotomy Technician
- South Gate, CA
National Provider Identifier
1154110948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 02036418
- Practice address
- 3848 Tweedy Blvd Ste B2
South Gate, CA 90280-6168 - Phone
- (424) 270-3650
- NPI assigned
- May 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 02036418 | CA | Primary |
Addresses
Primary practice location
3848 Tweedy Blvd Ste B2
South Gate, CA 90280-6168
Mailing address
3848 Tweedy Blvd Ste B2
South Gate, CA 90280-6168
Phone (424) 270-3650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02036418 | CA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1154110948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3848 TWEEDY BLVD STE B2",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806168",
"telephone_number": "424-270-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3848 TWEEDY BLVD STE B2",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806168",
"telephone_number": "424-270-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-06",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "02036418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.