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

Samuel Moore Bodin

Individual provider Registered Nurse · NPI 1922974922

Samuel Moore Bodin is a Registered Nurse in Pasadena, California. Licensed in Arizona and California. Registered with an NPI since 2025.

Licensed in
AZ, CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1126 Cordova St Apt 1
Pasadena, CA 91106-3044
Phone: (310) 867-0429
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95168025 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 308504 (AZ)

Record details

NPI number1922974922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address1126 Cordova St Apt 1, Pasadena, CA 91106-3044

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