Samuel R. Peterson, MD
Dermatology Physician · Newport Beach, CA
Samuel R. Peterson, MD is a dermatology physician with a practice address in Newport Beach, California, and NPI 1073571295, issued on May 4, 2006. Check the license (California C148028, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Samuel R. Peterson
- Credential
- MD
- Primary taxonomy
- Dermatology Physician 207N00000X
- License numbers
- C148028 CA
52631431205 UT
Self-reported in NPPES; status is on the state search - Practice location
- 360 San Miguel Dr Ste 309, Newport Beach, CA 92660
- Phone
- (949) 640-0434
- Enumerated
- May 4, 2006
- Record last updated
- Jan 19, 2023
- Medicaid ID
- 870281028000 UT
- Entity
- Type 1 · individual
8 nearest dermatology physician records → All 2,083 in California → Look up another NPI →
Also registered at 360 San Miguel Dr Ste 309
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Marilynne BrownellNurse Practitioner1851567820
- Miriam EshoieePhysician Assistant1821561622
- Edward Rohaly, M.D,.Dermatology Physician1669522819
- Blair Rose, MDDermatology Physician1891113395
Verify Samuel R. Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license C148028Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Samuel R. Peterson among 2,083 dermatology physician records in California
Samuel R. Peterson, MD is one of 2,083 dermatology physician records with a practice address in California. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.
- NPI issued2006 · 6% of these records are older, 56% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileNo · 70% of these records are
- Record last updated2023 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Dermatology Physician providers in California
There are 2,083 dermatology physician records in California.
All 2,083 in California → Every provider in Newport Beach → Dermatology Physician nationwide →
The 8 dermatology physician records with the nearest ZIP codes
- Michelle Aszterbaum, MDNewport Beach, CA 926601992891329
- Susan Cox, MDNewport Beach, CA 926601811985724
- Lynn Dimino, M.D.Newport Beach, CA 926601699724542
- Leila Ettefagh, M.D.Newport Beach, CA 926601881643724
- Kristen Forman, M.D.Newport Beach, CA 926601992750335
- Peter Helton, DONewport Beach, CA 926601295775872
- Hui-Kyung Kim, MDNewport Beach, CA 926601720076631
- Navid Nami, D.O.Newport Beach, CA 926601710936646
Common questions
What is Samuel R. Peterson, MD's NPI number?
Samuel R. Peterson, MD's National Provider Identifier (NPI) is 1073571295, issued on May 4, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Samuel R. Peterson, MD located?
The NPPES record lists a practice address at 360 San Miguel Dr Ste 309, Newport Beach, CA, 92660. Phone: (949) 640-0434. Providers update this record themselves, so call before visiting.
How can I verify Samuel R. Peterson, MD's license?
NPPES lists California license number C148028, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Samuel R. Peterson, MD's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. 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.