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