Active NPI
Tiffany Sam
- School Counselor
- Fremont, CA
National Provider Identifier
1962312801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 260075377
- Practice address
- 4357 Thornton Ave
Fremont, CA 94536-4827 - Phone
- (510) 793-9090
- NPI assigned
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 260075377 | CA | Primary |
Addresses
Primary practice location
4357 Thornton Ave
Fremont, CA 94536-4827
Mailing address
4357 Thornton Ave
Fremont, CA 94536-4827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1962312801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4357 THORNTON AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4357 THORNTON AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364827",
"telephone_number": "510-793-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "260075377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.