Search › California › 101YA0400X
Samuel Blackwood, CADC, CAS
NPI 1568649937 · on the registry since 2008
Practice
- Address
- 3148 Midway Dr
San Diego, CA 92110 - Phone
- (619) 363-0853
- Fax
- (619) 362-9905
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California