GEORGE JUSTIN PETERSEN (NPI# 1144767468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144767468 |
| Entity Type | Individual |
| Full Name | GEORGE JUSTIN PETERSEN |
| Credential | DPT |
| Practice Address |
3064 Fried Ave San Diego CA 92122-2235 |
| Practice Telephone | 8584052855 |
| Mailing Telephone | 8584052855 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
36323 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3064 FRIED AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92122-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561630 | Neal Yacoo | Pharmacist | 9085 Judicial Drive #2137, San Diego, CA 92122 | 2019-04-29 |
| 1598242828 | Gena Rachel Katzer | Social Worker | 3246 Willard St, San Diego, CA 92122 | 2018-07-19 |
| 1164919791 | Janine Marie Battaglia | Nurse Practitioner | Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 | 2018-04-19 |
| 1669991899 | Lindsay Y Ditmars | Pharmacist | 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 | 2017-09-19 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1851726582 | Grace Lorelei Allen | Doula | 2728 Nansen Avenue, San Diego, CA 92122 | 2013-09-12 |
| 1427301894 | Barry Katzman, M.d., Inc., Apc | Optometrist | 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 | 2012-10-22 |
| 1912295361 | Yingjian Liang | Psychiatry & Neurology | Gillman Drive 9500, San Diego, CA 92122 | 2011-07-19 |
| 1467775486 | David Michael Trejo | Psychologist | 5080 Shoreham Place, Suite 103, San Diego, CA 92122 | 2010-03-04 |
| 1225369556 | Jeffrey J Abrams | Internal Medicine | 3395 Willard St, San Diego, CA 92122 | 2010-01-27 |
| Find all providers in zip 92122 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164810586 | Maritess Kennedy | Physical Therapist | 16705 Prairie Fawn Ct, San Diego, CA 92127-3408 | 2015-01-07 |
| 1699117002 | Rogelio Bautista | Physical Therapist | 3703 Lindbergh St, San Diego, CA 92154-1654 | 2013-07-25 |
| 1588282594 | Chr Physical Therapy | Physical Therapist | 2694 Escala Cir, San Diego, CA 92108-6720 | 2020-07-07 |
| 1336677889 | Brian R White | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-29 |
| 1619338522 | Krista Hambley | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2016-03-19 |
| 1851765457 | Carrie Johnston | Physical Therapist | 13101 Hartfield Ave, San Diego, CA 92130-1511 | 2015-11-19 |
| 1326429374 | Rosebelle Sotto | Physical Therapist | 18655 W Bernardo Dr, San Diego, CA 92127-3002 | 2015-06-16 |
| 1861892598 | Kevin Branscum | Physical Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2014-08-29 |
| 1881940708 | April Ann Hoffman | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2012-07-29 |
| 1437405420 | Lenda Earl | Physical Therapist | 3760 Convoy St, Suite 204, San Diego, CA 92111-3742 | 2012-07-27 |
| Find all providers in SAN DIEGO | ||||
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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.