DR. KEITH R PETERSON (NPI# 1023144573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023144573 |
| Entity Type | Individual |
| Full Name | DR. KEITH R PETERSON |
| Credential | PHD |
| Practice Address |
6 Venture Suite 350 Irvine CA 92618-3340 |
| Mailing Address |
26741 Portola Pkwy Suite 1e 432 Foothill Ranch CA 92610-1743 |
| Practice Telephone | 9496838789 |
| Practice Fax Number | 9495814484 |
| Mailing Telephone | 9496838789 |
| Mailing Fax Number | 9495814484 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 15859 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143562 | Keith Hjalmar Jude Peterson | Registered Nurse | 77 Park Ave Apt 127, Hoboken, NJ 07030-7106 | 2020-08-03 |
| 1689718637 | Keith Hershel Peterson | Internal Medicine | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2007-02-15 |
| 1972679439 | Keith A Peterson | Chiropractor | 1205 Hauck Dr, Rolla, MO 65401-4900 | 2006-11-28 |
| 1124086731 | Keith E Peterson | Otolaryngology | 2528 W 16th St, Greeley, CO 80634-4955 | 2006-05-03 |
| Street Address |
6 VENTURE SUITE 350 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427084839 | Kishore K Desagani | Psychiatry & Neurology | 6 Venture, Suite 270, Irvine, CA 92618-3340 | 2006-06-25 |
| 1255714853 | St. Bernardine Hospice Care Inc. | Hospice Care, Community Based | 6 Venture, Suite 235, Irvine, CA 92618-3340 | 2015-07-01 |
| 1689997215 | Unified Care Providers, Inc. | Home Health | 6 Venture, Suite 210, Irvine, CA 92618 | 2010-03-10 |
| 1922257989 | Heather Tomilowitz | Psychologist | 6 Venture, Suite 350, Irvine, CA 92618-3340 | 2008-09-15 |
| 1437325479 | Connor Minh-khoi Duong | Psychiatry & Neurology | 6 Venture, Suite 350, Irvine, CA 92618-3340 | 2008-04-30 |
| 1205006012 | Joey A Estella | Marriage & Family Therapist | 6 Venture, Suite 350, Irvine, CA 92618-3340 | 2008-03-07 |
| 1043496441 | Disiena Family Chiropractic, A Prof Corp | Chiropractor | 6 Venture, Suite 115, Irvine, CA 92618-8853 | 2008-01-15 |
| 1881803773 | Nida Victoria Nicasio | Specialist | 6 Venture, 350, Irvine, CA 92618-3340 | 2007-05-21 |
| 1619198678 | Marta Yolanda Hatter | Social Worker | 6 Venture, Suite 350, Irvine, CA 92618-0000 | 2007-05-01 |
| 1952430399 | Sheila Hedden, Licensed Clinical Social Worker, Apc | Social Worker | 6 Venture, Suite 350, Irvine, CA 92618-3340 | 2007-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659618 | Gauri Saxena | Psychologist | 242 Dewdrop, Irvine, CA 92603-0650 | 2020-04-27 |
| 1083198162 | Kyle Kermott | Psychologist | 18010 Sky Park Cir Ste 290, Irvine, CA 92614-6487 | 2018-09-24 |
| 1245713163 | Saimir Thano | Psychologist | 203 Student Services I, Irvine, CA 92697-0001 | 2018-09-07 |
| 1730525536 | Shirin Ansari | Psychologist | 16220 Scientific, Irvine, CA 92618-4349 | 2013-05-20 |
| 1831474345 | Elham Shoja | Psychologist | 8 Corporate Park Suite 300, Irvine, CA 92606 | 2011-10-15 |
| 1538448345 | Connie Joo Won | Psychologist | 19712 Macarthur Blvd Ste 110, Irvine, CA 92612-2407 | 2011-08-10 |
| 1366734477 | Yoon Shim Lee | Psychologist | 4605 Barranca Pkwy Ste 101d, Irvine, CA 92604-1726 | 2011-05-07 |
| 1770884470 | James Shafer Ph.d. A Psychological Corp. | Psychologist | 6 Venture Ste 350, Irvine, CA 92618-7350 | 2010-11-11 |
| 1588971741 | Erica Lehman | Psychologist | 15615 Alton Parkway, Suite 230, Irvine, CA 92618-7306 | 2010-09-09 |
| 1285834424 | Tracy A Williamson | Psychologist | 300 Spectrum Dr., Irvine, CA 92618 | 2007-07-24 |
| Find all providers in IRVINE | ||||
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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.