Samuel I Decker, MD
Individual provider Active NPI Emergency Medicine Physician · Colton, CA
NPI 1629575907 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1629575907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- A165813 (CA)
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1801 - Phone
- (909) 580-1000
- NPI assigned
- Apr 12, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Staffing Solutions Inc
Taos Health Systems Inc Holy Cross Hospital
Practice addresses (Care Compare)
1313 E 32ND St
Silver City, NM 88061-7251
Phone (575) 538-4000
1397 Weimer Rd
Taos, NM 87571-6253
Phone (575) 751-8911
Hospital & facility affiliations
- Los Alamos Medical Center
- Holy Cross Hospital a Div of Taos Health Systems
- Gila Regional Medical Center
- Ahmc Seton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.44 of 100
- Quality
- 96.88
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.02 of 100
- Quality
- 86.32
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210903000226 | CA | Practitioner - Emergency Medicine | 4183020852 | Reassigns benefits to 5 organizations |
| I20220714003260 | NM | Practitioner - Emergency Medicine | 4183020852 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165813 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-California | Emergency Medicine | Current |
Accepting new patients |
| Hospitalist Medicine Physicians of New Mexico - Clovis, LLC | Emergency Medicine | Current |
Accepting new patients |
| Chino Emergency Medical Associates, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Taos Health Systems, Inc., Holy Cross Hospital | Current |
Accepting new patients | |
| Nes Western Group, a Professional Corporation | Emergency Medicine | Current |
Accepting new patients |
| Nes Western Group, a Professional Corporation | Emergency Medicine | Current |
Accepting new patients |
| Ess Hospitalist LLC | Current |
Accepting new patients | |
| Taos Health Systems Inc Holy Cross Hospital | Emergency Medicine | Current |
Accepting new patients |
| San Dimas Emergency Medical Associates Inc. | Emergency Medicine | Current |
Accepting new patients |
| Los Alamos Emergency Medical Associates Inc | Emergency Medicine | Current |
Accepting new patients |
| Emergency Staffing Solutions Inc | Emergency Medicine | Current |
Accepting new patients |
| Montclair Emergency Medical Associates | Emergency Medicine | Current |
Accepting new patients |
| Cep America - California | Emergency Medicine | Current |
Accepting new patients |
Locations
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111
600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536
1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000
3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234
1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953
1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746
800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270
Interoperability endpoints
- lsi4614@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD2022-0244 | NM | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | A165813 | CA | Yes |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1801
Mailing address
400 N Pepper Ave
Colton, CA 92324-1801
Other providers in Colton, CA
- Sindy De la Rosa
- Christian Allen Dean
- Eric Jesse Deanda
- Arleen Gaspar Deano
- Timothy Keith Dechenne
- Antonio Martinez Del Rio
- Mary Suzanne Delahanty
- Miriam Deloria
- Geena Andrea Limoso Demetillo
- David Demian
All providers in Colton, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.