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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Samuel R Peterson, MD

Dermatology Physician in Newport Beach, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073571295

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Registry record

Entity type Individual (Type 1)
Name Samuel R Peterson
Credential MD
Sex Male
Practice address 360 San Miguel Dr Ste 309, Newport Beach, CA, 92660
Phone (949) 640-0434
Enumeration date May 4, 2006
Last updated in NPPES Jan 19, 2023

Taxonomy & licenses

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 52631431205 (UT) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License C148028 (CA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
107017630101 Other UT IHC HEALTHPLANS
QM0000066345 Other UT ALTIUS
P00066498 Other UT PALMETTO GBA
03.00174 Other UT UNITED HEALTHCARE
72756 Other UT PEHP
796725 Other UT DMBA
870281028000 Medicaid UT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1073571295 active?
Yes, as of the latest NPPES snapshot, NPI 1073571295 is active (record last updated 2023-01-19).
How do I verify Samuel Peterson's NPI record?
Cross-check NPI 1073571295 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-19.