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SAM NELSON
NPI 1053183236
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since October 23, 2023
2516 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-2428 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Oct 23, 2023 (2 updates tracked since 2023).

About Sam Nelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM NELSON (NPI 1053183236) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1053183236
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAM NELSON
Location Address2516 STOCKTON BLVDSacramento, CA 95817-2208
Mailing Address2516 Stockton BlvdSacramento, CA 95817-2208
Phone(916) 734-2428
Sole ProprietorNo
Enumeration DateOctober 23, 2023
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1053183236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2516 STOCKTON BLVD, Sacramento, CA 95817
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LENA CLAIRE VAN DER LIST D.O.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
ALISON MY LAM M.D.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. ELIZABETH PARTRIDGE M.D.
Pediatrics (Pediatric Infectious Diseases)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (510) 428-4337
SAMANTHA ELISE ELLINWOOD AUMAN M.D.
Student in an Organized Health Care Education/Training Program
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
SARA BRUNDAGE DO
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. JEANNY KIM PARK M.D.
Pediatrics (Pediatric Cardiology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3589
DR. DENNIS MICHAEL STYNE M.D.
Pediatrics (Pediatric Endocrinology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-0129
DR. ARUN RANJAN PANIGRAHI M.D.
Pediatrics (Pediatric Hematology-Oncology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Nelson's NPI number?

The NPI number for Sam Nelson is 1053183236. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Sam Nelson located?

Sam Nelson practices at 2516 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-2428.

What is Sam Nelson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sam Nelson was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.