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JASON PETERS PA-C NPI 1477524692


NPI Information

NPI: 1477524692
Provider Name: JASON PETERS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
34800 BOB WILSON DR
NMCSD, ATTN: MEDICAL STAFF SERVICES
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-6460
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Jason Peters, PA-C is a medical physician assistant in San Diego, CA. Jason Peters, PA-C NPI is 1477524692. 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:

34800 BOB WILSON DR
NMCSD, ATTN: MEDICAL STAFF SERVICES
SAN DIEGO, CA
ZIP 92134-098
Phone: (619) 532-6460
Fax: (619) 532-6299

The enumeration date for this NPI number is 1/27/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical1060304Yes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.