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

Samuel J Cork, AGPCNP

Gerontology Nurse Practitioner in Mather, CA · enumerated 2023.

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

National Provider Identifier

1205514940

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Registry record

Entity type Individual (Type 1)
Name Samuel J Cork
Credential AGPCNP
Sex Male
Practice address Mather, CA, 95655
Phone (916) 843-7000
Enumeration date Jul 11, 2023
Last updated in NPPES Jul 11, 2023

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

Taxonomy & licenses

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 95025931 (CA) Primary

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

How do I verify Samuel Cork's NPI record?
Cross-check NPI 1205514940 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1205514940 active?
Yes, as of the latest NPPES snapshot, NPI 1205514940 is active (record last updated 2023-07-11).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-11.