Catherine Petronijevic, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A55360 Issued in CA

Practice address

17615 Moro Rd
Salinas, CA 93907-8541

Phone

(831) 663-3926

Fax

(831) 663-0605

NPI assigned

Oct 12, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10227/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1003804089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17615 MORO RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939078541",
            "telephone_number": "831-663-3926",
            "fax_number": "831-663-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17615 MORO RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939078541",
            "telephone_number": "831-663-3926",
            "fax_number": "831-663-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONIJEVIC",
        "first_name": "CATHERINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A55360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Lee Peterson, SOCIAL WORKER
• Richard Stephen Peterson, LMFT
• Sarah Diane Anderson Peterson, LVN
• Stephen Peterson, MSW
• Joseph Celestino Petrini, M.D.
• Nicholas Paul Petronijevic, PA-C
• Steven Petronijevic, DO
• Nancy Petrovic
• Theresa Jean Pettas, SLP
• Alyssia M Peyton, PT

• Family Medicine Physician in Salinas, CA
• Providers in Salinas, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.