BRANDON ROBERT PETERSON


Address: 34800 Bob Wilson Dr, San Diego, CA 92134-5600
Phone: 6195329321

BRANDON ROBERT PETERSON (NPI# 1508184516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508184516
Entity Type Individual
Full Name BRANDON ROBERT PETERSON
Practice Address 34800 Bob Wilson Dr
San Diego
CA 92134-5600
Mailing Address 1845 29th St
San Diego
CA 92102-1147
Practice Telephone 6195329321
Mailing Telephone 4142086597
Enumeration Date 2010-05-14
Last Update Date 2019-07-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
A118372 CA Allopathic & Osteopathic Physicians

Other Providers BRANDON PETERSON

NPI Name Taxonomy Address Enumeration
1700864543 Brandon Keith Peterson Dentist 6600 Westown Pkwy, Suite 170, West Des Moines, IA 50266-7707 2006-01-03
1356638647 Brandon I Peterson Physical Therapist 1407 E Cherry St, Vermillion, SD 57069-2602 2011-07-07
1750606117 Brandon R Peterson Internal Medicine 500 University Dr, Hershey, PA 17033-2360 2010-03-29

Office Location

Street Address 34800 BOB WILSON DR
City SAN DIEGO
State CA
Zip Code 92134-5600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245235134 Willie S Chao Dentist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2005-06-16
1023625571 Samantha Savite Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-09-29
1588270326 Angelina Yvette Harris Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-09-17
1275149296 Alexa Werner Physical Therapist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-09-16
1376157164 Toure Marlow Hinton Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-31
1316550106 John K Housinga Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-31
1073126249 Alfredo Carrillo Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-27
1326651647 Daniel Adan Denge Registered Nurse 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-26
1275146664 Zachariah Jacob Charles Boydsnee Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-26
1245843820 Nikole Lanchares Dentist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023596731 Uc San Diego, Pathology Dept Pathology East Campus Office Building, Medical Center Dr, San Diego, CA 92037 2018-08-03
1548786163 Uc San Diego Pathology 200 West Arbor Drive Mc 8320, San Diego, CA 92103 2017-08-15
1669818456 Stephanie Erin Muller Pathology 9295 Farnham Street, Suite 100, San Diego, CA 92123 2013-05-20
1740571264 Lynn A Lancaster Pathology 4633 E Talmadge Dr, San Diego, CA 92116-4829 2011-05-02
1255633442 Lawrence Browning Willes Pathology 200 W Arbor Dr # Mc8720, San Diego, CA 92103-9001 2010-11-22
1063724920 Veena Singh Pathology 9640 Towne Centre Dr Ste 200, San Diego, CA 92121-1963 2010-07-08
1194056820 James Russell Nickel Pathology 3446 Hancock St, Suite C, San Diego, CA 92110-4306 2010-01-20
1386832640 Aamir Ahsan Pathology 9295 Farnham St Ste 100, San Diego, CA 92123-1254 2007-10-11
1437340445 Maria Lourdes Fernandez Reyes Pathology 6371 Rancho Mission Rd, Unit 2, San Diego, CA 92108-2016 2007-08-05
1316030984 James J Underwood Pathology 9853 Pacific Heights Blvd, Ste B, San Diego, CA 92121-4721 2006-10-02
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Competitor

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City SAN DIEGO
Zip Code 92134

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Dataset Information

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.

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