MR. STEPHEN DEXTER PETERSON (NPI# 1992897771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992897771 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN DEXTER PETERSON |
| Credential | M.D. |
| Practice Address |
185 E. 7th Ave. Suite D Chico CA 95926 |
| Mailing Address |
185 East 7th Ave. Suite D Chico CA 95926 |
| Practice Telephone | 5303427564 |
| Practice Fax Number | 5303427585 |
| Mailing Telephone | 5303427564 |
| Mailing Fax Number | 5303427585 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A31968 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A319680 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821562885 | Stephen Lynn Peterson II | Respiratory Therapist, Registered | 1350 S Ellsworth Rd Apt 1122, Mesa, AZ 85209-2809 | 2019-01-13 |
| 1003284886 | Stephen Peterson | Counselor | 7400 Metro Blvd Ste 220, Edina, MN 55439-2321 | 2015-09-09 |
| 1790161776 | Stephen Peterson | Social Worker | 3708 Ashley Oaks Dr, Apt. D, Lafayette, IN 47905-4495 | 2015-07-31 |
| 1114331535 | Stephen C Peterson | Family Medicine | 14 N 3rd Ave, Fruitport, MI 49415-8942 | 2014-06-13 |
| 1164538021 | Stephen W Peterson | Dentist | 206 Cypress St, Manistee, MI 49660-1700 | 2006-08-22 |
| 1720693617 | Stephen Peterson | Physical Therapist | 3390 Saxonburg Blvd Ste 250, Glenshaw, PA 15116-3160 | 2020-09-09 |
| 1548659451 | Stephen Peterson | Physical Therapist | 746 S Main Ave, Fallbrook, CA 92028-3333 | 2015-01-15 |
| 1801137377 | Stephen Eugene Peterson | Psychiatry & Neurology | 428 W 42nd St, Kansas City, MO 64111-3176 | 2013-03-08 |
| 1891964706 | Stephen Peterson | Case Manager/Care Coordinator | 2650 W Broadway, Louisville, KY 40211-1333 | 2008-02-25 |
| 1629127915 | Stephen P Peterson | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2007-01-09 |
| Street Address |
185 E. 7TH AVE. SUITE D |
| City | CHICO |
| State | CA |
| Zip Code | 95926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871045401 | Nupur Group, LLC | General Practice | 729 Windham Way, Chico, CA 95973 | 2016-10-31 |
| 1528159340 | Richard H Brownley | General Practice | 888 Lakeside Village Commons, Chico, CA 95928-3979 | 2006-09-27 |
| 1235140278 | Randall Elton Caviness | General Practice | 1279 E 1st Ave Ste A, Chico, CA 95926-1542 | 2006-08-11 |
| 1881622587 | Kirk Casey, M.d., A Medical Corporation | General Practice | 2565 Ceanothus Ave Suite 150, Chico, CA 95973-7615 | 2006-06-29 |
| 1982687612 | Mark Allen Truhe | General Practice | 650 Rio Lindo Ave, Ste 10, Chico, CA 95926-1808 | 2005-11-28 |
| 1972918969 | Alfred David Villasenor | General Practice | 100 Independence Cir, Chico, CA 95973-0258 | 2014-06-27 |
| 1548441728 | Paul Maria Gahlinger | General Practice | 277 Cohasset Rd, Chico, CA 95926 | 2007-11-16 |
| 1578603122 | Ronald D. Johnson | General Practice | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2007-02-06 |
| 1932248036 | Bradley Smith | General Practice | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2007-02-05 |
| 1265571368 | James H. Schwartz | General Practice | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2007-02-05 |
| Find all providers in CHICO | ||||
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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.