DR. RAYMOND MACDONALD PETERSON I (NPI# 1083780837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083780837 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND MACDONALD PETERSON I |
| Credential | MD MPH |
| Practice Address |
5663 Glenstone Way San Diego CA 92121-4332 |
| Practice Telephone | 8585469094 |
| Mailing Telephone | 8585469094 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
C24795 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707160 | Raymond William Peterson Jr. | Podiatrist | 6701 E 22nd St, Tucson, AZ 85710-5110 | 2005-06-01 |
| 1649403460 | Raymond W Peterson | Counselor | 8035 Ne Prescott St, Portland, OR 97218-4249 | 2009-08-27 |
| Street Address |
5663 GLENSTONE WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028192 | Chadley Ryan Huebner | Pediatrics | Naval Medical Center San Diego 34520 Bob Wilson Drive, San Diego, CA 92134 | 2006-01-18 |
| 1710988605 | Suzanne D Dixon | Pediatrics | 7920 Frost St, Ste 200, San Diego, CA 92123-2736 | 2005-08-02 |
| 1184157620 | Jesica Fernanda Liu | Pediatrics | 7910 Frost St Ste 230, San Diego, CA 92123-2776 | 2017-04-11 |
| 1760826705 | Deborah G Mishek | Pediatrics | 12625 High Bluff Dr, Suite 302, San Diego, CA 92130-2052 | 2013-04-22 |
| 1174674683 | Kristofer Adam Kazlauskas | Pediatrics | 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 92134-1098 | 2007-01-13 |
| 1871641837 | Barbara J. Lounsbury | Pediatrics | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1114011624 | Sarita Doyle Eastman | Pediatrics | 12395 El Camino Real, Suite 105, San Diego, CA 92130 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601222 | Development Support Services | Pediatrics | 43218 Business Park Dr Ste 203, Temecula, CA 92590-3601 | 2020-05-19 |
| 1922659804 | Trenna Sutcliffe Md, Apc | Pediatrics | 851 Fremont Ave Ste 110, Los Altos, CA 94024-5602 | 2019-09-23 |
| 1295117299 | Inland Faculty Specialists, A California Professional Corporation | Pediatrics | 4153 Rubidoux Ave, Riverside, CA 92506-1717 | 2015-06-25 |
| 1891181129 | Albert C. Fremont | Pediatrics | 1405 University Ave, Palo Alto, CA 94301-2245 | 2015-04-14 |
| 1184047722 | Hooi Hoon Yeap | Pediatrics | 820 Elgin St, San Lorenzo, CA 94580-1264 | 2014-02-03 |
| 1558608331 | Melissa Harada | Pediatrics | 3782 W Martin Luther King Jr Blvd, Los Angeles, CA 90008-1703 | 2013-01-14 |
| 1417227554 | New Age Enterprises | Pediatrics | 7320 Firestone Blvd Ste 105, Downey, CA 90241-4159 | 2012-01-06 |
| 1225342215 | Robert E Nopar | Pediatrics | 1900 E Los Angeles Ave, Simi Valley, CA 93065-6560 | 2010-08-02 |
| 1134383243 | Marianna Eraklis | Pediatrics | One Camino Sobrante, Suite 208, Orinda, CA 94563 | 2008-07-17 |
| 1982806170 | Jennifer Kit-lam Leung | Pediatrics | 2967 Michelson Dr Ste G, Pmb131, Irvine, CA 92612-8801 | 2007-06-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.