Active NPI
Peter D. Aldrich, M.D.
- Emergency Medicine Physician
- San Diego, CA
National Provider Identifier
1013019017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G76399
- Practice address
- 15025 Innovation Dr
San Diego, CA 92128-3409 - Phone
- (858) 554-8638
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G76399 | CA | Primary |
| Family Medicine Physician | 207Q00000X | G76399 | CA |
Addresses
Primary practice location
15025 Innovation Dr
San Diego, CA 92128-3409
Mailing address
File 54433
Los Angeles, CA 90074-0001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110108506 | Other | RAILROAD MEDICARE | |
| 00G763990 | Medicaid | CA | |
| B232 | Other | CHAMPUS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080716000461 | CA | Practitioner - Internal Medicine | 2365515855 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Miami, LM Miller School of Medicine, 1989
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029
4365 Corte de la Fonda
San Diego, CA 92130-2126
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G76399 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Samg Inc | Past | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
Interoperability endpoints
- paldrich10082@scrippshlth.medalliesdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
- Primary Care Clinic/Center
- Plymouth Meeting, PA
- NPI 1760103881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1013019017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 54433",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15025 INNOVATION DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283409",
"telephone_number": "858-554-8638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDRICH",
"first_name": "PETER",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G76399",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G76399",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110108506",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G763990",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "B232",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.