DREW ALAN PETERSON (NPI# 1063473023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063473023 |
| Entity Type | Individual |
| Full Name | DREW ALAN PETERSON |
| Credential | MD |
| Practice Address |
7485 Mission Valley Rd Suite 104 A San Diego CA 92108-4422 |
| Practice Telephone | 6192918930 |
| Practice Fax Number | 6192918491 |
| Mailing Telephone | 6192918930 |
| Mailing Fax Number | 6192918491 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2012-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G65990 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609101021 | Drew Campbell Peterson | Emergency Medicine | 400 Bigelow St, Pittsburgh, PA 15207-1456 | 2009-10-04 |
| 1518181833 | Drew Leland Peterson | Chiropractor | 1010 South Us#1, Fort Pierce, FL 34949 | 2007-04-11 |
| 1750893541 | Drew Ayn Peterson | Registered Nurse | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2017-11-01 |
| 1700241601 | Drew Anthony Peterson | Social Worker | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2015-12-18 |
| Street Address |
7485 MISSION VALLEY RD SUITE 104 A |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910900 | Steven Tradonsky | Orthopaedic Surgery | 7485 Mission Valley Rd, Ste 104, San Diego, CA 92108-4422 | 2005-05-24 |
| 1679811210 | Matthew S. Jones | Anesthesiology | 7485 Mission Valley Rd, Suite 106, San Diego, CA 92108-4422 | 2013-01-16 |
| 1538443965 | Kristine Cavazos Flores | Physical Therapist | 7485 Mission Valley Rd, Suite 100, San Diego, CA 92108-4422 | 2011-10-04 |
| 1730326430 | Jeffrey A. Stahl | Technician, Other | 7485 Mission Valley Rd, Suite 104 A, San Diego, CA 92108-4422 | 2009-01-16 |
| 1477739910 | Francesca M Barton | Physical Therapist | 7485 Mission Valley Rd, Suite 104 A, San Diego, CA 92108-4422 | 2008-01-15 |
| 1700061678 | Shane M. Giblin | Physical Therapy Assistant | 7485 Mission Valley Rd, Suite 104 A, San Diego, CA 92108-4422 | 2008-01-09 |
| 1699959387 | San Diego Ca Multi Specialty Asc LLC | Clinic/Center | 7485 Mission Valley Rd, Suite 106, San Diego, CA 92108-4422 | 2007-12-18 |
| 1669509477 | Mark S. Austerlitz, M.d., A Medical Corporation | Orthopaedic Surgery | 7485 Mission Valley Rd, Suite 103, San Diego, CA 92108-4422 | 2007-02-28 |
| 1598808776 | Merv Lee Kwai Jr. | Physician Assistant | 7485 Mission Valley Rd, Suite 104a, San Diego, CA 92108-4422 | 2007-02-15 |
| 1861533382 | David L Flood Md Incorporated | Orthopaedic Surgery | 7485 Mission Valley Rd, Suite 103, San Diego, CA 92108-4422 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650187 | Jb Ortho, Inc. | Orthopaedic Surgery | 4060 Fourth Ave Ste 630, San Diego, CA 92103-2118 | 2020-05-14 |
| 1962794198 | William Kent | Orthopaedic Surgery | 200 W Arbor Dr., San Diego, CA 92103 | 2011-05-05 |
| 1194014258 | Jaysson Trevor Brooks | Orthopaedic Surgery | 3030 Childrens Way Fl 3, San Diego, CA 92123-4232 | 2011-03-29 |
| 1821227463 | Robert K. Eastlack Md Inc | Orthopaedic Surgery | 5265 Amber View Pt, San Diego, CA 92130-6933 | 2009-07-03 |
| 1568627602 | Adam M Holleran | Orthopaedic Surgery | 2930 Barnard St Unit 7301, San Diego, CA 92110-5729 | 2008-07-28 |
| 1356505705 | Michael Lucius Pomerantz | Orthopaedic Surgery | 4445 Eastgate Mall Ste 105, San Diego, CA 92121 | 2008-07-15 |
| 1962660928 | Nilofar Faghihnia | Orthopaedic Surgery | 425 W Beech St Unit 1306, San Diego, CA 92101-2961 | 2008-05-27 |
| 1700074127 | Jeremy Bell Mccandless | Orthopaedic Surgery | 4060 4th Ave Ste 700, San Diego, CA 92103-2121 | 2007-10-10 |
| 1043418759 | Oke Adrian Anakwenze | Orthopaedic Surgery | 3750 Convoy St Ste 201, San Diego, CA 92111-3770 | 2007-07-03 |
| 1205996097 | Harish Sadanand Hosalkar | Orthopaedic Surgery | 15151 Almond Orchard Ln, San Diego, CA 92131-4328 | 2006-12-11 |
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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.