SAMUEL L KIPPER M.D. NPI 1265498836

NPI Information

  • NPI: 1265498836
  • Provider Name: SAMUEL L KIPPER, M.D.
  • Classification: Radiology - 2085N0904X
  • Specialization: Nuclear Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 N TUSTIN AVE
    SUITE A
    SANTA ANA, CA
    ZIP 92705
  • Phone: (714) 835-6055

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NPI Details

Samuel L Kipper, M.D. is a nuclear radiology radiology in Santa Ana, CA. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. Samuel L Kipper, M.D. NPI is 1265498836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 N TUSTIN AVE
SUITE A
SANTA ANA, CA
ZIP 92705-509
Phone: (714) 835-6055
Fax: (714) 285-9084

The NPI 1265498836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)

The enumeration date for this NPI number is 4/24/2006 and was last updated on 5/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0904XRadiologyNuclear RadiologyA34500CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A84640MEDICARE UPINCALIFORNIA
2360004475OTHERRAILROAD MEDICARE
300A345000MEDICAIDCALIFORNIA
4EK898ZMEDICARE PINCALIFORNIA
5WA34500BMEDICARE PIN
6WA34500CMEDICARE PIN
7EK898YMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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