DR. DONALD R PETERSON II (NPI# 1700809878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700809878 |
| Entity Type | Individual |
| Full Name | DR. DONALD R PETERSON II |
| Credential | MD, INC. |
| Practice Address |
4219 Buchanan Dr Fair Oaks CA 95628-6105 |
| Mailing Address |
Po Box 408 Fair Oaks CA 95628-0408 |
| Practice Telephone | 1662236099 |
| Practice Fax Number | 9167801679 |
| Mailing Telephone | 9166223609 |
| Mailing Fax Number | 9169610301 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | G22928 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | G22928 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013134931 | Donald P Peterson | Dentist | 11855 Holly Ln, Suite #103, Waldorf, MD 20601-3114 | 2007-04-20 |
| 1609935097 | Donald Joseph Peterson | Dentist | 1579 Hamline Ave N, Falcon Heights, MN 55108-2107 | 2006-12-08 |
| 1649206558 | Donald Thorgeir Peterson | Podiatrist | 8029 Jericho Tpke, Woodbury, NY 11797-1212 | 2006-06-23 |
| 1780678193 | Donald Peterson | Physical Therapist | 1503 Washington Ln, Augusta, KS 67010-1638 | 2005-08-31 |
| 1215939137 | Donald Leon Peterson | Optometrist | 813 Sw Highland Ave, Redmond, OR 97756-3123 | 2005-08-11 |
| 1396743548 | Donald Douglas Peterson | Urology | 408 8th St, 1st Floor, North Wilkesboro, NC 28659-4167 | 2005-07-12 |
| 1104821362 | Donald Albert Peterson | Chiropractor | 835 Highway 105, Suite A, Palmer Lake, CO 80133-9069 | 2005-06-15 |
| 1235282674 | Donald G Peterson | Anesthesiology | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 | 2007-01-19 |
| 1821159864 | Donald L. Peterson Jr. | Family Medicine | 151 Meadowcrest St, Suite C, Gretna, LA 70056-5256 | 2006-12-13 |
| 1164594537 | Donald Carl Peterson | Chiropractor | 2516 7th Ave E, Saint Paul, MN 55109-3003 | 2006-11-14 |
| Street Address |
4219 BUCHANAN DR |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-6105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235147737 | David L Haugen | Surgery | 8958 Cliffside Lane, Fair Oaks, CA 95628-9104 | 2006-08-03 |
| 1477597474 | Robert Todd Barrett | Surgery | 7890 Magnolia Ave, Fair Oaks, CA 95628-7336 | 2006-06-16 |
| 1992780928 | Karen Fogelberg | Surgery | 4001 La Canada Ct, Fair Oaks, CA 95628-7122 | 2005-12-13 |
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|---|---|---|---|---|
| 1396344321 | Sadeghi Medical Corporation | Surgery | 3871 Piedmont Ave # 105, Oakland, CA 94611-5378 | 2020-10-21 |
| 1295332823 | Vneo Medical Clinic Inc | Surgery | 6817 1/2 Kester Ave, Van Nuys, CA 91405-3716 | 2020-10-06 |
| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
| 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.