Sam Blumberg

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

77085 Issued in CA

Practice address

8775 Aero Dr
Suite 132
San Diego, CA 92123-1792

Phone

(858) 277-9550

NPI assigned

Jun 19, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1265795801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 AERO DR",
            "address_2": "SUITE 132",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 AERO DR",
            "address_2": "SUITE 132",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231792",
            "telephone_number": "858-277-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMBERG",
        "first_name": "SAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna Joelle Blum, D.C.
• Richard I Blum, M.D.
• Steven E. Blum, DO
• Blumberg Family Therapy Group Inc
• Jay Blumberg
• Sukhprit Mann Blumberg, PT, DPT
• Christina Mone Blume
• Liza Suzanne Blumenfeld
• Julia Nicole Blumenshine, IDC (HM USN)
• Fred Blumenstein, MD

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.