BRIAN JARED PETERSON PAC NPI 1225119621

NPI Information

  • NPI: 1225119621
  • Provider Name: BRIAN JARED PETERSON, PAC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1730 ALPINE BLVD STE 109B
    ALPINE, CA
    ZIP 91901
  • Phone: (619) 326-4445

Map and Directions

Get Directions

NPI Details

Brian Jared Peterson, PAC is an emergency medicine in Alpine, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Brian Jared Peterson, PAC NPI is 1225119621. 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:

1730 ALPINE BLVD STE 109B
ALPINE, CA
ZIP 91901-877
Phone: (619) 326-4445
Fax: (619) 722-1721

The NPI 1225119621 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.

  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Cellesta or cellesta duo, per square centimeter (HCPCS:Q4184)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Urinalysis, manual test (HCPCS:81002)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Removal of impacted ear wax (HCPCS:69210)
  • Strapping, unna boot (HCPCS:29580)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • New patient home visit, typically 75 minutes (HCPCS:99345)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • New patient home visit, typically 1 hour (HCPCS:99344)
  • Extended office or other outpatient service, first hour (HCPCS:99354)
  • New patient custodial care facility, group care, or assisted living visit, typically 75 minutes (HCPCS:99328)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)

The enumeration date for this NPI number is 10/18/2006 and was last updated on 3/7/2023.

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
1207P00000XEmergency MedicineMA051614PENNSYLVANIAYes

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
1MA051614OTHERPENNSYLVANIASTATE LICENSE
21061442OTHERNCCPA

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

NPI Synchronization or Removal

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.