DR. JOHN PETERSON MD NPI 1851419907

NPI Information

NPI: 1851419907
Provider Name: DR. JOHN PETERSON, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: PERMANENTE MEDICAL GROUP INC

PECOS Registration: Yes

Address:
700 LAWRENCE EXPY
DEPT 200
SANTA CLARA, CA
ZIP 95051
Phone: (650) 796-8370
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DR. John Peterson, MD is a general practice in Santa Clara, CA with 16 years of experience. DR. John Peterson, MD NPI is 1851419907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

700 LAWRENCE EXPY
DEPT 200
SANTA CLARA, CA
ZIP 95051-173
Phone: (650) 796-8370

The NPI 1851419907 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 enumeration date for this NPI number is 3/27/2007 and was last updated on 12/15/2021.

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
1	208D00000X	General Practice		A109303	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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