DR. CHARLES CAPDEVILLE PETERSON


Address: 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436
Phone: 8185005586

DR. CHARLES CAPDEVILLE PETERSON (NPI# 1871036798) 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) 1871036798
Entity Type Individual
Full Name DR. CHARLES CAPDEVILLE PETERSON
Credential D.O.
Practice Address 801 S Chevy Chase Dr Ste 230
Glendale
CA 91205-4436
Mailing Address 1125 E Broadway # 71
Glendale
CA 91205-1315
Practice Telephone 8185005586
Practice Fax Number 8185005587
Mailing Telephone 8185005586
Mailing Fax Number 8185005587
Enumeration Date 2016-11-25
Last Update Date 2020-10-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 20A15085 CA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 20A15085 CA Allopathic & Osteopathic Physicians

Other Providers CHARLES PETERSON

NPI Name Taxonomy Address Enumeration
1609026897 Charles Marquis Peterson Internal Medicine 12910 Dalyn Dr, Potomac, MD 20854-1176 2008-09-24
1134243355 Charles Mark Peterson Registered Nurse 830 14th Ave, Seattle, WA 98122-4508 2007-03-16
1902973415 Charles Walter Peterson Optometrist 904 Elliott Ave N, Wenatchee, WA 98801-1666 2006-11-29
1558472613 Charles Edwin Peterson Internal Medicine 904 Meadow Lane, Schenectady, NY 12309 2006-08-31
1700845526 Charles A Peterson Orthopaedic Surgery 8438 N Mercer Way, Mercer Island, WA 98040-3134 2006-03-21
1952302143 Charles Smith Peterson Family Medicine 3130 E Baseline Rd, Suite 101, Mesa, AZ 85204-7290 2005-08-10
1154798502 Charles Peterson Counselor 185 Silas Deane Hwy, Wethersfield, CT 06109 2015-09-01
1982018818 Charles William Peterson Iv Behavioral Analyst 21929 Highland Knolls Dr, Katy, TX 77450-5873 2014-06-18
1295026821 Charles John Peterson Student in an Organized Health Care Education/Training Program 308 Harvard St Se, Minneapolis, MN 55455-0343 2011-05-01
1437234499 Charles John Peterson Emergency Medicine 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 2006-10-26

Office Location

Street Address 801 S CHEVY CHASE DR STE 230
City GLENDALE
State CA
Zip Code 91205-4436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639138001 Rene E Pidoux Family Medicine 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 2006-03-22
1356905954 Daisha Ortega Student in an Organized Health Care Education/Training Program 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 2019-04-29
1235793282 Natalie Anne Boone Student in an Organized Health Care Education/Training Program 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 2019-04-25
1629632997 Maria Teresa Sanchez Student in an Organized Health Care Education/Training Program 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 2019-04-23
1003386558 Nare Stepanyan Family Medicine 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 2018-11-27
1619499050 Tala Stephanie Ghadimi I Student in an Organized Health Care Education/Training Program 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 2017-07-07
1871027540 Raffi Petrosian Student in an Organized Health Care Education/Training Program 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 2017-04-19
1043752751 Alexander Hu Family Medicine 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 2016-11-11
1821457250 Alison Kole Family Medicine 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 2016-02-12
1003287517 Allandale Yap Family Medicine 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 2015-10-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104466382 Ashley Torres Behavior Technician 501 East Harvard Street, Glendale, CA 91205 2020-01-15
1306492277 Maria Veronica A Lopez Registered Nurse 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 2019-08-15
1801373469 Lucky Riders Inc. Non-emergency Medical Transport (VAN) 1251 Boynton St Apt 1, Glendale, CA 91205 2018-07-25
1669967006 Happy Life Home Health Care Inc Home Health 225 East Broadway St, Suite 203, Glendale, CA 91205 2018-06-28
1841782356 Liana Hariri Case Manager/Care Coordinator 1540 E. Colorodo St., Glendale, CA 91205 2018-05-31
1992202469 Narek Garukyan Dpm Clinic/Center 815 E Colorado St Ste 210, Glendale, CA 91205 2018-04-10
1619496080 Elite Care Home Health Services Inc Home Health 225 E.broadway, Suite B114, Glendale, CA 91205 2017-09-16
1396284980 Ingrid Pamela Vazquez Solis Case Manager/Care Coordinator 1540 E. Colorado Street, Glendale, CA 91205 2017-02-16
1730533670 Arm Trans Management Company Non-emergency Medical Transport (VAN) 627 E. Windsor Rd # 6, Glendale, CA 91205 2016-04-18
1104290824 Caremore Health Plan Nurse Practitioner 406 E. Colorado Street, Glendale, CA 91205 2015-11-18
Find all providers in zip 91205

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356967327 Kristian Adair Family Medicine 7200 W Bell Rd Ste E102, Glendale, AZ 85308-8534 2020-06-24
1336761295 Glendale Whole Health Family Medicine 230 N Maryland Aave #110, Glendale, CA 91206 2020-05-14
1053930248 Shine Mmg Inc Family Medicine 450 N Brand Blvd Ste 625a, Glendale, CA 91203-2347 2020-04-08
1497381446 Leonardo C Ortiz Md A Medical Corporation Family Medicine 2145 Ashington Dr, Glendale, CA 91206-1140 2020-03-20
1508498130 Nare Stepanyan Md Inc Family Medicine 1030 S Glendale Ave Ste 503, Glendale, CA 91205-2820 2020-02-11
1194368530 Carolyn Kathan Family Medicine 3732 W Charleston Ave, Glendale, AZ 85308-2708 2019-10-17
1932740966 Starcare Homes LLC Family Medicine 9416 W Colter St, Glendale, AZ 85305-3373 2019-10-01
1871050559 Mensa Family Clinic Inc Family Medicine 1110 S Glendale Ave Ste E, Glendale, CA 91205-5623 2019-02-28
1891279907 Denise M Gomez Family Medicine 7200 W Bell Rd Unit 101, Glendale, AZ 85308-8529 2018-09-24
1427537299 Brilliant Health Center Inc Family Medicine 1014 E Colorado St, Glendale, CA 91205-1226 2018-08-12
Find all providers in GLENDALE

Competitor

Search similar providers

City GLENDALE
Zip Code 91205

Improve Information

Please comment or provide details below to improve the information on DR. CHARLES CAPDEVILLE PETERSON.

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.

Trending Searches