PAUL STANLEY PETERSON (NPI# 1972678993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972678993 |
| Entity Type | Individual |
| Full Name | PAUL STANLEY PETERSON |
| Credential | D.C. |
| Practice Address |
4616 El Camino Ave Sacramento CA 95821-6736 |
| Practice Telephone | 9164851091 |
| Practice Fax Number | 9164857118 |
| Mailing Telephone | 9164851091 |
| Mailing Fax Number | 9164857118 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC10275 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134769979 | Paul Peterson | Non-emergency Medical Transport (VAN) | 4314 45th St N, Fargo, ND 58102-6915 | 2020-01-09 |
| 1013304500 | Paul Carlton Peterson | Home Health Aide | 712 4th St Ne, Washington, DC 20002-4316 | 2015-04-22 |
| 1083902126 | Paul H Peterson | Podiatrist | 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 | 2011-07-11 |
| 1245498971 | Paul Stephen Peterson | Physician Assistant | 5731 Silverstone Ter Ste 100, Colorado Springs, CO 80919-3594 | 2008-05-29 |
| 1285752642 | Paul Arthur Peterson | Specialist/Technologist | 46400 Algonkian Pkwy, Potomac Falls, VA 20165-6487 | 2007-03-26 |
| 1528114667 | Paul Joseph Peterson | Social Worker | 1459 N Main St Ste 100, Bountiful, UT 84010-6092 | 2007-01-25 |
| 1194876672 | Paul Gabriel Peterson | Student in an Organized Health Care Education/Training Program | Wramc Department of Radiology, 6900 Georgia Ave. Nw, Bldg. 2, Washington, DC 20307-0001 | 2007-01-13 |
| 1275646465 | Paul J Peterson | Social Worker | 102 Southend Dr, Dayton, NV 89403-7414 | 2006-08-15 |
| 1326013426 | Paul D Peterson | Family Medicine | 2600 Outer Dr N, Sioux City, IA 51104-1585 | 2006-02-22 |
| 1861494486 | Paul D Peterson | Internal Medicine | 2207 S Clear Creek Rd, Ste 304, Killeen, TX 76549-4132 | 2005-08-12 |
| Street Address |
4616 EL CAMINO AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295124220 | Sarah Elisabeth Rutherford | Massage Therapist | 4616 El Camino Ave, Sacramento, CA 95821-6752 | 2015-01-14 |
| 1902043599 | Johnny Pal | Mechanotherapist | 4616 El Camino Ave, Sacramento, CA 95821-6736 | 2009-01-19 |
| 1891860995 | Peterson-bird Chiropractic Corp | Chiropractor | 4616 El Camino Ave, Sacramento, CA 95821 | 2006-11-22 |
| 1225012115 | Darrell Leslie Bird | Chiropractor | 4616 El Camino Ave, Sacramento, CA 95821-6736 | 2005-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768744 | Christina Vo-nguyen | Chiropractor | 1122 Corporate Way, Sacramento, CA 95831-6124 | 2020-07-23 |
| 1447873617 | Shaina Lewinski | Chiropractor | 4420 24th St, Sacramento, CA 95822-1409 | 2020-05-22 |
| 1356998439 | Caitlin Jay Collins | Chiropractor | 1500 7th St Ste 1e, Sacramento, CA 95814-5445 | 2019-08-22 |
| 1184278525 | Living Roots Corporation | Chiropractor | 900 Fulton Ave Ste 150, Sacramento, CA 95825-4517 | 2019-07-24 |
| 1477017499 | Heather Dehn Chiropractic Corporation | Chiropractor | 4343 Marconi Ave Ste 5, Sacramento, CA 95821-4300 | 2019-01-23 |
| 1346755246 | Chong Her | Chiropractor | 3800 Watt Ave Ste 120, Sacramento, CA 95821-2622 | 2017-12-13 |
| 1972013845 | Alexander James Anders-cook | Chiropractor | 1220 Arden Hills Ln, Sacramento, CA 95864-5378 | 2017-10-05 |
| 1699297457 | Kimberlee S Doan | Chiropractor | 1960 Del Paso Rd Ste 145, Sacramento, CA 95834-7709 | 2017-07-13 |
| 1386175248 | Jason Nguyen | Chiropractor | 8161 Silverleaf Way, Sacramento, CA 95829-1725 | 2017-03-22 |
| 1285024307 | Optimal Health and Wellness Clinic | Chiropractor | 6005 Florin Rd Ste 300, Sacramento, CA 95823-2487 | 2015-01-27 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
Please comment or provide details below to improve the information on PAUL STANLEY PETERSON.
| 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.