ALEXANDER OLAF PETERSON JR.


Address: 6185 Agee St, San Diego, CA 92122
Phone: 8585520402

ALEXANDER OLAF PETERSON JR. (NPI# 1750453759) 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) 1750453759
Entity Type Individual
Full Name ALEXANDER OLAF PETERSON JR.
Credential MD
Practice Address 6185 Agee St
San Diego
CA 92122
Practice Telephone 8585520402
Mailing Telephone 8585520402
Enumeration Date 2006-11-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology A044622 CA Allopathic & Osteopathic Physicians

Other Providers ALEXANDER PETERSON

NPI Name Taxonomy Address Enumeration
1336502814 Alexander Bradley Peterson Student in an Organized Health Care Education/Training Program 1200 N. State Street, Gh3900, Lac Usc Department of Orthopaedic Surgery, Los Angeles, CA 90033 2016-04-01
1447887849 Alexander Chase Peterson Student in an Organized Health Care Education/Training Program 800 Rose St Rm M-53, Lexington, KY 40536-0293 2020-03-25
1407411218 Alexander James Peterson Dentist 2165 N Telegraph Rd, Monroe, MI 48162-8947 2019-05-07

Office Location

Street Address 6185 AGEE ST
City SAN DIEGO
State CA
Zip Code 92122

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912561630 Neal Yacoo Pharmacist 9085 Judicial Drive #2137, San Diego, CA 92122 2019-04-29
1598242828 Gena Rachel Katzer Social Worker 3246 Willard St, San Diego, CA 92122 2018-07-19
1164919791 Janine Marie Battaglia Nurse Practitioner Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 2018-04-19
1669991899 Lindsay Y Ditmars Pharmacist 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 2017-09-19
1154747103 Rebecca Jackson Nurse Practitioner 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 2014-03-14
1851726582 Grace Lorelei Allen Doula 2728 Nansen Avenue, San Diego, CA 92122 2013-09-12
1427301894 Barry Katzman, M.d., Inc., Apc Optometrist 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 2012-10-22
1912295361 Yingjian Liang Psychiatry & Neurology Gillman Drive 9500, San Diego, CA 92122 2011-07-19
1467775486 David Michael Trejo Psychologist 5080 Shoreham Place, Suite 103, San Diego, CA 92122 2010-03-04
1225369556 Jeffrey J Abrams Internal Medicine 3395 Willard St, San Diego, CA 92122 2010-01-27
Find all providers in zip 92122

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497399141 Dermatology Specialists Inc Dermatology 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 2019-11-05
1306405998 Mismo Dermatology Group Apc Dermatology 8898 Navajo Rd Ste C-349, San Diego, CA 92119-2141 2019-06-07
1609361740 Seaver Soon Md Inc Dermatology 2044 W California St, San Diego, CA 92110-2121 2018-06-29
1700240249 Alexandra Edelman Dermatology 3965 5th Ave Ste 200, San Diego, CA 92103-3107 2016-04-11
1033572391 Lauren Metterle Dermatology 3020 Childrens Way # 5092, San Diego, CA 92123-4223 2016-04-03
1225493323 Jeanette Jacknin Dermatology 12634 Carmel Country Rd, Suite 126, San Diego, CA 92130-3197 2015-12-16
1417330432 Eugene Tachuk Dermatology 3740 Rosecrans St Ste C, San Diego, CA 92110-3126 2015-07-08
1508203563 Monica Boen Dermatology 9339 Genesee Ave Ste 350, San Diego, CA 92121-2150 2013-05-31
1619311164 David Otto Schairer Dermatology 8010 Frost St Ste 602, San Diego, CA 92123 2013-04-25
1295037760 Susan Ann Kincaid Dermatology 1951 4th Ave Ste 202, San Diego, CA 92101-2374 2010-12-03
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92122

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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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