SAMUEL J CORK AGPCNP
NPI 1205514940
Nurse Practitioner - Gerontology in Mather, CA

Active since July 11, 2023
10535 HOSPITAL WAY, MATHER, CA 95655(916) 843-7000 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel J Cork Agpcnp NPPES

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

SAMUEL J CORK AGPCNP (NPI 1205514940) is an individual gerontology provider in Mather, California, licensed in California (95025931) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1205514940
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameSAMUEL J CORKCredential: AGPCNP
Location Address10535 HOSPITAL WAYMather, CA 95655-4200
Mailing Address2 Koret WaySan Francisco, CA 94143-2218 · (415) 476-1435
Sole ProprietorYes
Enumeration DateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
NPI 1205514940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CA · 95025931
10535 HOSPITAL WAY, Mather, CA 95655

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.

Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Specialist
10535 HOSPITAL WAY, DEPT. OF VA SACRAMENTO MEDICAL CENTER
MATHER, CA 95655
Dietitian, Registered
10535 HOSPITAL WAY
MATHER, CA 95655
Marriage & Family Therapist
10535 HOSPITAL WAY
MATHER, CA 95655
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10535 HOSPITAL WAY
MATHER, CA 95655
Internal Medicine
10535 HOSPITAL WAY
MATHER, CA 95655
Psychologist (Clinical)
10535 HOSPITAL WAY
MATHER, CA 95655

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 Samuel Cork's NPI number?

The NPI number for Samuel Cork is 1205514940. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Samuel Cork located?

Samuel Cork practices at 10535 Hospital Way, Mather, CA 95655. The listed phone number is (916) 843-7000.

What is Samuel Cork's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Samuel Cork was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.