RYAN C PETERSON MD INC (NPI# 1609166545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609166545 |
| Entity Type | Organization |
| Organization Name | RYAN C PETERSON MD INC |
| Practice Address |
3209 Hillock Dr Los Angeles CA 90068-1427 |
| Mailing Address |
Po Box 7001 Tarzana CA 91357-7001 |
| Practice Telephone | 3102663774 |
| Practice Fax Number | 3233807420 |
| Mailing Telephone | 8188887815 |
| Mailing Fax Number | 8187151722 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | RYAN C PETERSON (DIRECT OWNER) |
| Authorized Official Telephone | 3102663774 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A103097 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16030 Ventura Blvd Ste 150, Encino, CA 914362779 | 8185012001 | |
| 42051 10th St W Ste 109, Lancaster, CA 935347093 | 8185012001 | |
| 5400 Balboa Blvd Ste 111, Encino, CA 913165206 | 8187848975 | 8187842035 |
| 8300 Valley Circle Blvd Ste C, West Hills, CA 913043023 | 3102663774 | 3233807420 |
| 22900 Ventura Blvd Ste 340, Woodland Hills, CA 913645808 | 3102663774 | 3233807420 |
| 5620 Wilbur Ave Ste 207, Tarzana, CA 913561309 | 8183440070 | 8183440079 |
| 7966 Beverly Blvd Ste 200, Los Angeles, CA 900484511 | 3102663774 | 3233807420 |
| 3101 Ocean Park Blvd Ste 309, Santa Monica, CA 904053022 | 3102663774 | 3233807420 |
| Street Address |
3209 HILLOCK DR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90068-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669613816 | Ryan Curtis Peterson | Anesthesiology | 3209 Hillock Dr, Los Angeles, CA 90068-1427 | 2009-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083029367 | Valley Creek Hospice, Inc. | Hospice Care, Community Based | 3179 Barbara Court, F, Los Angeles, CA 90068 | 2014-06-25 |
| 1376892299 | Julio C Rivas | Religious Nonmedical Practitioner | 6800 Treasure Trail, Los Angeles, CA 90068 | 2012-09-06 |
| 1477817708 | Beverly Hansen Weisblatt | Marriage & Family Therapist | 6491 Ivarene Ave., Los Angeles, CA 90068 | 2012-07-02 |
| 1306169180 | Kambiz Kamangar | Dentist | 3400 Cahuenga Bvld West, #310, Los Angeles, CA 90068 | 2010-03-08 |
| 1578891370 | Stepping Stones Pediatric Therapy | Home Health | 3301 Tareco Drive, Los Angeles, CA 90068 | 2009-12-07 |
| 1376724757 | Jonathan Everett Rubinow | Preventive Medicine | 2759 Creston Dr, Los Angeles, CA 90068 | 2007-11-14 |
| 1366653479 | Julie Elizabeth Berghofer | Music Therapist | 3855 Broadlawn Dr, Los Angeles, CA 90068 | 2007-05-24 |
| 1467484287 | Lanny Orlin | Marriage & Family Therapist | 3171 Los Feliz Blvd, Suite 200, Los Angeles, CA 90068 | 2006-07-06 |
| 1396880514 | Back In Balance Physical Therapy | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
| 1003941253 | Erin Mcguire | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
| Find all providers in zip 90068 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093057929 | B.john Freeman,m.d.,inc.: | Anesthesiology | 2525 N Catalina St, Los Angeles, CA 90027-1132 | 2013-03-18 |
| 1366746299 | Joseph C Chun, Md, Inc | Anesthesiology | 201 S Alvarado St Ste 702, Los Angeles, CA 90057-2390 | 2011-01-06 |
| 1497076780 | Advanced Specialty Anesthesia & Pain Management, A Medical Corporation | Anesthesiology | 219 W 7th St, 207, Los Angeles, CA 90014-1950 | 2010-06-21 |
| 1588859235 | Andrew Fond | Anesthesiology | 1520 San Pablo St Ste 3450, Los Angeles, CA 90033-5325 | 2007-09-06 |
| 1104824697 | Joseph C Chun | Anesthesiology | 3030 W Olympic Blvd, #217, Los Angeles, CA 90006-6501 | 2005-07-08 |
| 1053874628 | Koorosh Joshua Elihu, A Professional Corporation | Anesthesiology | 8905 Venice Blvd Ste 106, Los Angeles, CA 90034-3340 | 2019-04-10 |
| 1871078972 | Shahbaz Farnad Md Professional Corporation | Anesthesiology | 5757 Wilshire Blvd, Promenade 2, Los Angeles, CA 90036 | 2018-09-25 |
| 1093165789 | Mark Whitney Motejunas | Anesthesiology | 757 Westwood Plz Ste 3304, Los Angeles, CA 90095-8358 | 2016-06-14 |
| 1023459302 | Koorosh J Elihu | Anesthesiology | 8905 Venice Blvd Ste 106, Los Angeles, CA 90034-3340 | 2013-07-15 |
| 1417394784 | Heidi Haskins | Anesthesiology | 4650 Sunset Blvd., Los Angeles, CA 90027 | 2013-05-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90068 |
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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.