SAMANTHA NEMIROV NPI 1124828843

NPI Information

  • NPI: 1124828843
  • Provider Name: SAMANTHA NEMIROV
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 4241 JUTLAND DR STE 207
    SAN DIEGO, CA
    ZIP 92117
  • Phone: (619) 733-6414

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NPI Details

Samantha Nemirov is a mental health counselor in San Diego, CA. Samantha Nemirov NPI is 1124828843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4241 JUTLAND DR STE 207
SAN DIEGO, CA
ZIP 92117-653
Phone: (619) 733-6414

The enumeration date for this NPI number is 3/13/2025 and was last updated on 3/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthAPCC14192CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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