Individual provider · Type 1 NPI
Samuel James Bergman
Peer Specialist · Encino, CA
NPI number
1669393229
Active
Practice location
18001 Burbank Blvd
Encino, CA 91316-1605
Fax (818) 675-0255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | RT1440450426 (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.
About NPI 1669393229
Samuel James Bergman's National Provider Identifier is 1669393229, issued on Jul 21, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Encino, CA. The record was last updated on Jul 21, 2026.