ROBERT E PETERS (NPI# 1104936574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104936574 |
| Entity Type | Individual |
| Full Name | ROBERT E PETERS |
| Credential | PHD, M.D> |
| Practice Address |
8008 Frost St Suite 304 San Diego CA 92123-4205 |
| Practice Telephone | 8588740248 |
| Practice Fax Number | 8588740667 |
| Mailing Telephone | 8588740248 |
| Mailing Fax Number | 8588740667 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
A63776 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A637760 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552799 | Robert Joseph Peters | Social Worker | 13226 W Legion Hall Rd, Princeville, IL 61559-9151 | 2020-06-10 |
| 1396896585 | Robert A Peters | Chiropractor | 12191 Taft Steet, Pembroke Pines, FL 33026-5213 | 2007-01-15 |
| 1053493882 | Robert M Peters Jr. | Physician Assistant | 851 Ireland Loop, Ces, Iach, Ft. Knox, KY 40121 | 2006-10-20 |
| 1821034075 | Robert E. Peters | Dentist | 6180 Clay St, Riverside, CA 92509-6047 | 2006-06-22 |
| 1659351559 | Robert Horace Peters | Psychiatry & Neurology | 190 Morgan Ave, East Haven, CT 06512-4519 | 2006-01-18 |
| 1629064829 | Robert James Peters | Dentist | Navy Medicine Support Command/medical Staff Services, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2005-09-22 |
| 1689189128 | Robert F Peters IIi | Counselor | 5665 Hoover Rd, Grove City, OH 43123-9122 | 2017-12-06 |
| 1992153464 | Robert Peters | Pharmacist | 129 S Randall Rd, Batavia, IL 60510-9470 | 2016-05-25 |
| 1619309200 | Robert Peters | Counselor | 121 Commercial Dr # B, Stuttgart, AR 72160-7033 | 2013-08-06 |
| 1225476609 | Robert Daniel Peters | Otolaryngology | 3010 Anderson Dr, Raleigh, NC 27609-7798 | 2013-06-07 |
| Street Address |
8008 FROST ST SUITE 304 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378990 | Julie Renee Ohayon | Surgery | 8008 Frost St, Ste 403, San Diego, CA 92123-4205 | 2005-07-01 |
| 1528444171 | Lindsey Urband Md Corp | Orthopaedic Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2015-08-05 |
| 1710238811 | Ann Billones | Physician Assistant | 8008 Frost St, Suite 106, San Diego, CA 92123-4205 | 2012-09-28 |
| 1376803254 | San Diego Center for Oral and Maxillofacial Surgery | Dentist | 8008 Frost St, Suite 311, San Diego, CA 92123-4205 | 2012-05-24 |
| 1508169335 | Christine Michelle Szafranic | Physician Assistant | 8008 Frost St, Suite 106, San Diego, CA 92123-4205 | 2010-12-16 |
| 1316247281 | Sharp Rees-stealy Medical Group Inc | Orthopaedic Surgery | 8008 Frost St, Suite 106, San Diego, CA 92123 | 2010-10-26 |
| 1740422997 | Lindsey Starr Urband | Orthopaedic Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2009-04-02 |
| 1063658375 | M. Hertzel Soumekh M D A Professional Corporation | Neurological Surgery | 8008 Frost St, Suite 401, San Diego, CA 92123-4205 | 2008-12-17 |
| 1023273307 | Jesus H. Mendoza | Orthotist | 8008 Frost St, Suite 407, San Diego, CA 92123-4205 | 2008-07-25 |
| 1407036502 | Tarkan Sidal | Dentist | 8008 Frost St, Suite 311, San Diego, CA 92123-4205 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578672184 | Regents of The University of California - Ucsd Medical Group | Family Medicine | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184247876 | Lori A Musto, Do | Family Medicine | 881 Alma Real Dr Ste 110, Pacific Palisades, CA 90272-5008 | 2020-05-28 |
| 1548823867 | Inland Empire Medical Group, Inc | Family Medicine | 10250 Country Club Dr Ste A, Jurupa Valley, CA 91752-1328 | 2019-04-22 |
| 1851869663 | Universal Urgent Care, PC | Family Medicine | 6055 Niles St, Bakersfield, CA 93306-4696 | 2018-11-09 |
| 1003289554 | Dunja Maglica Md Inc | Family Medicine | 23441 Madison St Ste 305, Torrance, CA 90505-4735 | 2015-11-05 |
| 1750581096 | Rajiv Kumra | Family Medicine | 10020 Griffith St, San Jose, CA 95127-4117 | 2007-07-24 |
| 1023145240 | A Diop Family Care Medical Group Inc. | Family Medicine | 2704 W Manchester Blvd, Inglewood, CA 90305-2436 | 2007-02-27 |
| 1528101029 | Clinica Popular Medical Group | Family Medicine | 2410 W. 7th St, Los Angeles, CA 90057-3904 | 2007-02-14 |
| 1801949292 | Daniel G Berdakin | Family Medicine | 2410 W 7th St, Los Angeles, CA 90057-3904 | 2007-01-19 |
| 1679658041 | Tracey Lee Norton | Family Medicine | 420 W Las Tunas Dr, San Gabriel, CA 91776-1268 | 2006-10-26 |
| 1588754675 | Kyung Soo Yoo | Family Medicine | 15446 Parthenia St, North Hills, CA 91343-5108 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
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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.