KENNETH P PETERSON (NPI# 1144287707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144287707 |
| Entity Type | Individual |
| Full Name | KENNETH P PETERSON |
| Credential | MD |
| Practice Address |
15910 Ventura Blvd Suite 1502 Encino CA 91436-2802 |
| Practice Telephone | 8187289877 |
| Mailing Telephone | 8187289877 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2014-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | C50553 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE NUMBER | G50553 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871565788 | Kenneth A Peterson | Optometrist | 911 Oak Park Blvd Ste 104, Pismo Beach, CA 93449-3406 | 2006-02-03 |
| 1386131324 | Kenneth D Peterson | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2018-04-16 |
| 1912140351 | Kenneth Brian Peterson | Internal Medicine | 8757 E Bell Rd, Scottsdale, AZ 85260-1322 | 2009-04-15 |
| 1164646741 | Kenneth Roy Peterson | Chiropractor | 76 Fort Hill Rd, Groton, CT 06340-4333 | 2007-04-13 |
| 1386768265 | Kenneth Dean Peterson | Chiropractor | 1002 W Elm Ave, Hermiston, OR 97838-2711 | 2007-03-18 |
| 1083706659 | Kenneth B Peterson | Family Medicine | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-09-29 |
| 1053321497 | Kenneth L Peterson | Dentist | 165 Nw 1st Ave, John Day, OR 97845-1101 | 2006-08-08 |
| 1194744896 | Kenneth S Peterson | Nurse Practitioner | 26 Queen St, Worcester, MA 01610 | 2006-07-19 |
| Street Address |
15910 VENTURA BLVD SUITE 1502 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629054549 | Viktor Vakulenko | Anesthesiology | 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | 2005-12-22 |
| 1811200249 | Dolan Carl Leung | Anesthesiology | 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | 2010-07-14 |
| 1619288859 | Yeside Obiajulu Akinyemi | Anesthesiology | 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | 2010-06-22 |
| 1447577952 | Nikhil Pandya | Anesthesiology | 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | 2010-04-23 |
| 1497080436 | Monique Tu | Anesthesiology | 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | 2009-10-08 |
| 1245486984 | Michelle Z. Wang | Anesthesiology | 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | 2008-08-13 |
| 1205091204 | Tigran Sukiasyan | Anesthesiology | 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | 2008-07-20 |
| 1245492420 | Kurt Anthony Kamel | Anesthesiology | 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | 2008-06-27 |
| 1043471741 | Austin Brendlen Harris | Anesthesiology | 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | 2008-06-24 |
| 1205036423 | Mark R Poblete | Anesthesiology | 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | 2007-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518598556 | Irvin Pretsky | Anesthesiology | 4159 Adlon Pl, Encino, CA 91436-3806 | 2020-01-29 |
| 1942785969 | Point Operations | Anesthesiology | 16027 Ventura Blvd Ste 604, Encino, CA 91436-2799 | 2018-09-25 |
| 1376067629 | Century Anesthesia Medical Group | Anesthesiology | 5353 Balboa Blvd Ste 300, Encino, CA 91316-2863 | 2017-07-28 |
| 1275820375 | Magdalena Tesmer | Anesthesiology | 15910 Ventura Blvd Ste 1510, Encino, CA 91436-2827 | 2011-07-09 |
| 1760697825 | Michael S. Winston, M.d. A.m.c. | Anesthesiology | 5135 Encino Ave, Encino, CA 91316-2523 | 2007-05-11 |
| 1649483942 | Jonathan Kohan, Md Inc | Anesthesiology | 16311 Ventura Blvd Ste 1085, Encino, CA 91436-4353 | 2007-05-07 |
| 1639216534 | Muriel Kendrick | Anesthesiology | 16255 Ventura Blvd Ste 100, Encino, CA 91436-2300 | 2007-01-31 |
| 1770667032 | Abraham Goldman Md A Professional Corporation | Anesthesiology | 16055 Ventura Blvd Ste 1000, Encino, CA 91436-2611 | 2006-10-24 |
| 1376657759 | Merrie Anne Hamburg-eylers | Anesthesiology | 16311 Ventura Blvd Ste 580, Encino, CA 91436 | 2006-08-19 |
| 1598789414 | Robert M. Gasway | Anesthesiology | 16501 Ventura Blvd Ste 103, Encino, CA 91436 | 2006-07-26 |
| Find all providers in ENCINO | ||||
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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.