Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL R PETERSON, MD
ActiveSAMUEL R PETERSON, MD is a Dermatology healthcare provider located in NEWPORT BEACH, California. NPI 1073571295 is currently active in the NPPES registry. Verify at CMS.
Dermatology · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1073571295
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.271492640158 yrs)
- Last Updated
- Jan 19, 2023
- Licenses
-
52631431205 (UT)C148028 (CA)
Practice Information
- Address
-
360 SAN MIGUEL DR STE 309NEWPORT BEACH, CA, 926607829Browse CA providers · Browse ZIP 92660
- Phone
- 9496400434
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in NEWPORT BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| NANCY LEE SILVERBERG | MD | 1083602023 |
| SUSAN COX | MD | 1811985724 |
| HUI-KYUNG TINA KIM | MD | 1720076631 |
| MATTHEW MORTENSEN GOODMAN | M.D | 1679556633 |
| DR. NAVID NAMI | D.O. | 1710936646 |
| DR. LEILA ETTEFAGH | M.D. | 1881643724 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.