Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel J Cork, AGPCNP

Individual provider Gerontology Nurse Practitioner · NPI 1205514940

Samuel J Cork, AGPCNP is a Gerontology Nurse Practitioner in Mather, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

10535 Hospital Way
Mather, CA 95655-4200
Phone: (916) 843-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 95025931 (CA)

Record details

NPI number1205514940
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedJuly 11, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address2 Koret Way, San Francisco, CA 94143-2218