Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Samuel Ponce Nandin, M.D.

General Practice Physician in Goodyear, AZ · enumerated 2006.

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

National Provider Identifier

1124180054

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Samuel Ponce Nandin

Credential M.D.

Sex Male

Practice address Goodyear, AZ, 85338

Phone (623) 925-2622

Fax (623) 925-9260

Enumeration date Dec 15, 2006

Last updated in NPPES Jun 21, 2018

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License AZ15582 (AZ) 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
106223600	Other	AZ	OWCP
562491245	Other	AZ	AZ. FOUNDATION FOR MEDICA
562491245	Other	AZ	LIFE WISE HEALTHPLAN
562491245	Other	AZ	UNITEDHEALTH CARE
562491245	Other	AZ	SCF OF ARIZONA
AZ0766630	Other	AZ	BCBS OF AZ
562491245	Other	AZ	HUMANA
273607001	Other	AZ	AHCCCS
562491245	Other	AZ	BEECHSTREET NETWORK
2Z1748	Other	AZ	HEALTH NET
5008111	Other	AZ	AETNA PROVIDER NO.

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Samuel Nandin?

The National Provider Identifier (NPI) for Samuel Nandin is 1124180054, a Type 1 (individual) record in the CMS NPPES registry.

Where does Samuel Nandin practice?

The practice location on file with NPPES is in Goodyear, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Paul Charnetsky Internal Medicine Physician · Goodyear, AZ NPI 1477515021 Paul S. Charnetsky, M.D. P.C. Internal Medicine Physician · Goodyear, AZ NPI 1982623542 Smart Pediatric Therapy, LLC Pediatric Occupational Therapist · Goodyear, AZ NPI 1356681076 Sarah Watson Occupational Therapy Assistant · Goodyear, AZ NPI 1578970885

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-21.