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DAVID L PETERSON MD NPI 1144358581


NPI Information

NPI: 1144358581
Provider Name: DAVID L PETERSON MD

Doing Business As: ENDOCRINE MEDICAL ASSOCIATES

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
393 BLOSSOM HILL RD
STE 260
SAN JOSE, CA
ZIP 95123
Phone: (408) 227-2646
Get Directions

DAVID L PETERSON MD is an endocrinology and diabetes and metabolism internal medicine in San Jose, CA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DAVID L PETERSON MD NPI is 1144358581. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Endocrine Medical Associates.

The provider's business location address is:

393 BLOSSOM HILL RD
STE 260
SAN JOSE, CA
ZIP 95123-652
Phone: (408) 227-2646
Fax: (408) 227-2663

The provider's authorized official is David L Peterson .
The authorized official title is Owner and has the following contact phone number (408) 227-2646.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/31/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismC39409CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ30169ZMEDICARE PIN
2A37140MEDICARE UPINCALIFORNIA
300A788851MEDICARE PIN
4I16663MEDICARE UPINCALIFORNIA
500A858540MEDICARE PINCALIFORNIA
600C394090MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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