John L Peterson (NPI# 1891729109, PAC ID# 4385612175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1891729109 |
PAC ID by PECOS | 4385612175 |
Professional Enrollment ID | I20040920000785 |
Full Name | John L Peterson |
Organization Legal Name | CSI MEDICAL GROUP |
Address |
9781 Blue Larkspur Ln Suite 100 Monterey CA 93940-6509 |
Phone Number | 8313339008 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
Graduation Year | 1979 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 5890916845 |
Number of Group Practice Members | 82 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050145 | COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Address | Phone | Organization |
---|---|---|
9781 Blue Larkspur Ln, Suite 100, Monterey, CA 93940-6509 | 8313339008 | CSI MEDICAL GROUP |
Organization Legal Name | CSI MEDICAL GROUP |
Physicians | 74 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie Feldstein | Dermatology | Csi Medical Group | 1934 Via Ctr, Suite B, Vista, CA 92081-6056 |
Shih-ting Chiu | Physician Assistant | Csi Medical Group | 9781 Blue Larkspur Ln, Suite 100, Monterey, CA 93940-6509 |
Joel S Crockett | Dermatology | Csi Medical Group | 1101 Standiford Ave, A3, Modesto, CA 95350-0981 |
Ernest Bloom | Dermatology | Csi Medical Group | 501 S Shore Ctr W, Suite 103a, Alameda, CA 94501-5762 |
Paul C Tumeh | Dermatology | Csi Medical Group | 525 S Dr, Suite 115, Mountain View, CA 94040-4211 |
Peter K Webb | Dermatology | Csi Medical Group | 136 N San Mateo Dr, San Mateo, CA 94401-2777 |
Leon Lubianker | Dermatology | Csi Medical Group | 2420 Samaritan Dr, San Jose, CA 95124-3907 |
David B Friedman | Dermatology | Csi Medical Group | 1165 N Euclid St, Anaheim, CA 92801-1938 |
Susan D Wolf | Dermatology | Csi Medical Group | 3060 Broadway St, Redwood City, CA 94062-1512 |
David A South | Dermatology | Csi Medical Group | 204 Green Valley Rd, Freedom, CA 95019-3135 |
Street Address |
9781 BLUE LARKSPUR LN SUITE 100 |
City | MONTEREY |
State | CA |
Zip | 93940-6509 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shih-ting Chiu | Physician Assistant | Csi Medical Group | 9781 Blue Larkspur Ln, Suite 100, Monterey, CA 93940-6509 |
Stuart J Macdonell | Physician Assistant | Csi Medical Group | 9781 Blue Larkspur Ln, Suite 100, Monterey, CA 93940-6509 |
Ronald J Koch Jr. | Plastic and Reconstructive Surgery | Csi Medical Group | 9781 Blue Larkspur Ln, Suite 100, Monterey, CA 93940-6509 |
Name | Specialty | Organization | Address |
---|---|---|---|
Vladimir Leibovsky | Obstetrics/gynecology | 337 Eldorado St, Suite B4, Monterey, CA 93940 | |
Lee M Hamilton | Family Practice | Monterey Hospitalist Medical Group | 23625 Wr Holman Hwy, Monterey, CA 93940 |
Hami Ebrahimi | Internal Medicine | Monterey Hospitalist Medical Group | 23625 Wr Holman Hwy, Monterey, CA 93940 |
Christopher L Tinker | Physical Therapy | 786 Lighthouse Ave, Monterey, CA 93940-1010 | |
Craig D Schmitz | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
Kimberly M Micheletti | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
Shelley A Kroopf | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
Travis D Jurgens | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
Timothy K Wilken | Family Medicine | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
James D Wells | Hospitalist | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
Find all physicians in zip 93940 |
City | MONTEREY |
Zip Code | 93940 |
Specialty | DERMATOLOGY |
City + Specialty | MONTEREY + DERMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.