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NPI · 1073571295 · NPPES-sourced

Samuel Peterson MD

ActiveDermatology
NPI Number
1073571295
Type 1 · Individual
Taxonomy Code
207N00000X
Contact
(949) 640-0434
License CA · C148028
Last Updated
Enumerated
Primary practice addressCA · 92660-7829
360 San Miguel Dr Ste 309Newport Beach, CA 92660-7829
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About this NPIWhat this record shows.

NPI 1073571295 is registered to Samuel Peterson MD, a Dermatology practising at 360 San Miguel Dr Ste 309 in Newport Beach, California. Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures. Samuel Peterson MD has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 107017630101UT· Issued by IHC HEALTHPLANS
  • QM0000066345UT· Issued by ALTIUS
  • P00066498UT· Issued by PALMETTO GBA
  • 03.00174UT· Issued by UNITED HEALTHCARE
  • 72756UT· Issued by PEHP
  • 796725UT· Issued by DMBA

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Samuel Peterson MD accepts. To confirm in-network status with your specific health plan, contact Samuel Peterson MD directly at (949) 640-0434.

Frequently asked

Yes. NPI 1073571295 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (949) 640-0434.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Samuel Peterson MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207N00000X
Last updated
Enumerated
StatusActive
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