ROY C. PETERSON (NPI# 1164662714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164662714 |
| Entity Type | Individual |
| Full Name | ROY C. PETERSON |
| Credential | M.D. |
| Practice Address |
115 West E Street Tehachapi CA 93581-1900 |
| Mailing Address |
20322 Oakdale Ln Tehachapi CA 93561-7649 |
| Practice Telephone | 6619722874 |
| Practice Fax Number | 6618238106 |
| Mailing Telephone | 6619722874 |
| Mailing Fax Number | 6618238106 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2014-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
G036719 | CA | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
G036719 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
115 WEST E STREET |
| City | TEHACHAPI |
| State | CA |
| Zip Code | 93581-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689665267 | Adventist Health Medical Center Tehachapi | General Acute Care Hospital | 115 West E Street, Tehachapi, CA 93561 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760666937 | John Matthews | Dentist | End of Hwy 202, Tehachapi, CA 93581 | 2007-12-24 |
| 1801079850 | Dale Akira Nakayama | Dentist | 1031 Pobox, End of Hwy 202, Tehachapi, CA 93581-1031 | 2007-12-13 |
| 1861675043 | Robert Terry Hall | Dentist | California Correctional Institution, End of Highway 202, Tehachapi, CA 93581-1031 | 2007-12-11 |
| 1528266079 | Harold Foster Tate | Internal Medicine | 24900 Highway 202, Tehachapi, CA 93581-1031 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1295353795 | Charles David Arcaro | Counselor | 20242 W Valley Blvd, Ste E, Tehachapi, CA 93561 | 2020-07-10 |
| 1326667353 | Megan Atol | Registered Nurse | 24040 Martingale Way, Tehachapi, CA 93561-8352 | 2020-04-09 |
| 1104451202 | Amber Lynn Medina | Family Medicine | 18160 Bowie St, Tehachapi, CA 93561-5314 | 2020-03-09 |
| 1588299234 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 20111 W Valley Blvd, Tehachapi, CA 93561-8747 | 2020-03-03 |
| 1184257008 | Old Town Dental | Clinic/Center | 20406 Brian Way # 2, Tehachapi, CA 93561-8781 | 2020-02-19 |
| 1063042422 | Behavior Education Analysis & Research LLC | Behavioral Analyst | 26300 Chester Ct., Tehachapi, CA 93561 | 2020-01-24 |
| 1821628637 | Healing Connections: Child and Family Therapy, Inc. | Marriage & Family Therapist | 20601 Highway 202, Unit A104, Tehachapi, CA 93561 | 2020-01-21 |
| 1609417476 | Mary Pomeroy See | Lactation Consultant, Non-RN | 30520 Rollingoak Dr, Tehachapi, CA 93561-8518 | 2019-10-03 |
| 1073154076 | Matthew Thomas Dolan | Behavioral Analyst | 26300 Chester Ct, Tehachapi, CA 93561-7476 | 2019-10-01 |
| Find all providers in TEHACHAPI | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
| 1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
| 1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
| 1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
| 1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
| 1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
| 1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
| 1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
| Find all providers with the same taxonomy | ||||
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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.