DR. SANDRA ROSE PETERSEN


Address: 4060 4th Ave, Suite 610, San Diego, CA 92103-2116
Phone: 6194972430

DR. SANDRA ROSE PETERSEN (NPI# 1295795672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295795672
Entity Type Individual
Full Name DR. SANDRA ROSE PETERSEN
Credential M.D.
Practice Address 4060 4th Ave
Suite 610
San Diego
CA 92103-2116
Practice Telephone 6194972430
Practice Fax Number 6192991723
Mailing Telephone 6194972430
Mailing Fax Number 6192991723
Enumeration Date 2006-03-28
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology G051961 CA Allopathic & Osteopathic Physicians

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1215162995 Sandra Lee Petersen Speech-Language Pathologist 805 W Stonemill Ave, Addison, IL 60101-2210 2009-05-24
1821070368 Sandra E Petersen Marriage & Family Therapist 43613 Florida Ave, Suite K, Hemet, CA 92544-7202 2005-11-18
1285171801 Sandra Mary Bednarz Petersen Counselor 1900 Ogden Ave, Aurora, IL 60504-4273 2017-01-20
1568916260 Sandra Petersen Marriage & Family Therapist 25 N 100 E Ste 102, St George, UT 84770-7369 2016-08-10
1407074024 Sandra M. Petersen Pharmacist 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 2007-04-20
1548396849 Sandra Petersen Nurse Practitioner 6800 West Loop S, Suite 180, Bellaire, TX 77401-4528 2007-02-23

Office Location

Street Address 4060 4TH AVE
SUITE 610
City SAN DIEGO
State CA
Zip Code 92103-2116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174525299 John Paul Molenaar Audiologist 4060 4th Ave, Ste 410a, San Diego, CA 92103-2121 2005-06-01
1598391740 Sheena Lee Hays Registered Nurse 4060 4th Ave, San Diego, CA 92103-2116 2020-03-19
1336645324 Kiyon Chung Md, Apc Internal Medicine 4060 4th Ave, Suite 650, San Diego, CA 92103-2121 2018-03-30
1003260894 Erin Dwyer Nurse Practitioner 4060 4th Ave, Suite 310, San Diego, CA 92103-2116 2016-04-18
1336515642 Leslie Monagle Physical Therapist 4060 4th Ave, Suite 206, San Diego, CA 92103-2116 2015-08-20
1598008583 Stewart L. Frank Md, Inc. Non-Pharmacy Dispensing Site 4060 4th Ave, Suite 605, San Diego, CA 92103-2116 2013-03-28
1912269945 Kennie Kwok Dentist 4060 4th Ave, Suite 303, San Diego, CA 92103-2116 2012-06-14
1124391974 Central San Diego Surgery Center Inc. Clinic/Center 4060 4th Ave, Suite #120, San Diego, CA 92103-2116 2012-02-09
1366734220 Joey Allen Clayton Physician Assistant 4060 4th Ave, Suite 700, San Diego, CA 92103-2116 2011-05-11
1578869772 Jason R Hess Plastic Surgery Inc Surgery 4060 4th Ave, Suite 120, San Diego, CA 92103-2116 2011-02-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316494768 Samantha Berg Obstetrics & Gynecology 9339 Genesee Ave Ste 220, San Diego, CA 92121-2121 2016-09-01
1326495276 Elizabeth Anne Coulter Obstetrics & Gynecology 200 West Arbor Drive, Mc8433, Ucsd Residency Office, San Diego, CA 92103 2016-05-20
1962889121 Reproductive Sciences Medical Center Obstetrics & Gynecology 3661 Valley Centre Dr, Suite 100, San Diego, CA 92130-3321 2015-04-27
1134515695 Tiffani Phan Obstetrics & Gynecology 550 Washington St Ste 331, San Diego, CA 92103-2227 2015-04-11
1437544251 Lindsey Ann Burnett Obstetrics & Gynecology 200 West Arbor Drive, Mailcode 8433, University of California San Diego, San Diego, CA 92103 2015-03-30
1811240906 Charles Hamrang Obstetrics & Gynecology 3250 Bunker Hill, San Diego, CA 92117 2012-10-26
1780955328 Gerald M Spector Obstetrics & Gynecology 4045 Couts St, San Diego, CA 92103-1501 2012-01-12
1841578572 L Dale Lapp M D Inc Obstetrics & Gynecology 4060 4th Ave Ste 640, San Diego, CA 92103-2118 2011-07-29
1114221603 Leroy Albert Miller Obstetrics & Gynecology 2359 Juan Street, San Diego, CA 92103 2010-12-27
1154635415 Robert J Santella, Md. Inc. Obstetrics & Gynecology 4531 College Ave, San Diego, CA 92115-4010 2010-07-28
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Competitor

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City SAN DIEGO
Zip Code 92103

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Dataset Information

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.

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