Samuel Peterson, MD
NPI 1073571295 · Dermatology Physician · Newport Beach, CA
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Peterson, MD is a Dermatology Physician provider in Newport Beach, CA (NPI 1073571295).
Provider details
- NPI number
- 1073571295
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 52631431205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2023-01-19
- Certified
- 2023-01-19
Frequently asked questions
- What is Samuel Peterson's NPI number?
- Samuel Peterson's National Provider Identifier (NPI) is 1073571295, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Peterson's specialty?
- Samuel Peterson is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Peterson located?
- Samuel Peterson's practice location on file with NPPES is 360 San Miguel Dr Ste 309, Newport Beach, CA 92660-7829.
- What is Samuel Peterson's phone number?
- The practice phone number listed in the NPPES registry for Samuel Peterson is (949) 640-0434.
- Does Samuel Peterson accept Medicare?
- Samuel Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Peterson's NPI active?
- Yes — Samuel Peterson's NPI (1073571295) is active in the NPPES registry as of the last update on 2023-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.