Individual provider · Type 1 NPI

Samuel Breyfogle

Peer Specialist · San Jose, CA

NPI number 1174430193 Active

Practice location

425 E Santa Clara St
San Jose, CA 95113-1936

Call (669) 245-3428 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-SNUKRO (CA)

Peer Specialist: 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.

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About NPI 1174430193

Samuel Breyfogle's National Provider Identifier is 1174430193, issued on Aug 25, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Jose, CA. The record was last updated on Aug 25, 2026.