NPPES file of Aug 9, 2026

Samuel Ponce Nandin, M.D.

General Practice Physician · Goodyear, AZ

Samuel Ponce Nandin, M.D. is a general practice physician with a practice address in Goodyear, Arizona, and NPI 1124180054, issued on Dec 15, 2006. Check the license (Arizona AZ15582, as entered in NPPES) on the Arizona Medical Board; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1124180054
Name
Samuel Ponce Nandin
Credential
M.D.
Primary taxonomy
General Practice Physician 208D00000X
License number
AZ15582 AZ
Self-reported in NPPES; status is on the state search
Practice location
13851 W LA Mar Blvd, Goodyear, AZ 85338
Phone
(623) 925-2622
Enumerated
Dec 15, 2006
Record last updated
Jun 21, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(623) 925-9260
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 13851 W LA Mar Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Paul Charnetsky, M.D.Internal Medicine Physician1477515021
  2. Sarah Watson, COTAOccupational Therapy Assistant1578970885

Verify Samuel Ponce Nandin in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersArizona Medical Board
    Search for license AZ15582
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Arizona license search

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General Practice Physician providers in Arizona

There are 228 general practice physician records in Arizona. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other general practice physician records in Arizona

  1. John Adams, M.D.Sedona, AZ1316065808
  2. Dwa'a Alkhalaf, DOPhoenix, AZ1285379685
  3. James Allison, MDChandler, AZ1174683569
  4. Joseph Alvarado, MDTucson, AZ1568456176
  5. Luna Amelingmeier, M.D.Phoenix, AZ1265839633
  6. Samuel Anderson, MDPhoenix, AZ1659767887
  7. Divine-Favour Anene, MDPhoenix, AZ1801252796
  8. Angel Arafiles, MDParker, AZ1023220142
  9. Carlos Argudo, M.D.Tucson, AZ1427138023
  10. Stephen Ash, MDGlendale, AZ1437128279

Common questions

What is Samuel Ponce Nandin, M.D.'s NPI number?

Samuel Ponce Nandin, M.D.'s National Provider Identifier (NPI) is 1124180054, issued on Dec 15, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Samuel Ponce Nandin, M.D. located?

The NPPES record lists a practice address at 13851 W LA Mar Blvd, Goodyear, AZ, 85338. Phone: (623) 925-2622. Providers update this record themselves, so call before visiting.

How can I verify Samuel Ponce Nandin, M.D.'s license?

NPPES lists Arizona license number AZ15582, as entered by the provider. Search the Arizona Medical Board at https://www.azmd.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.