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STEVEN H. PETERSON M.D. INC. NPI 1861605420


NPI Information

NPI: 1861605420
Provider Name: STEVEN H. PETERSON, M.D., INC.

Doing Business As: FOOTHILL ORTHOPAEDIC MEDICAL CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
691 PAULINE CT
SONORA, CA
ZIP 95370
Phone: (209) 532-6961
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STEVEN H. PETERSON, M.D., INC. is a specialist in Sonora, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. STEVEN H. PETERSON, M.D., INC. NPI is 1861605420. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Foothill Orthopaedic Medical Clinic.

The provider's business location address is:

691 PAULINE CT
SONORA, CA
ZIP 95370-216
Phone: (209) 532-6961
Fax: (209) 532-0537

The provider's authorized official is Steven H Peterson .
The authorized official title is President and has the following contact phone number (209) 532-6961.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/22/2020.


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
1174400000XSpecialistG43320CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G43320OTHERCALIFORNIASTATE LICENSE NUMBER
200G43320MEDICAIDCALIFORNIA

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

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