Neal Christopher Petersen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN208944 Issued in MD

Practice address

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Phone

(619) 532-6400

NPI assigned

May 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Uniformed Services Uhs Fe Hebert School of Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

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.

• United Medical Doctors

  • Gastroenterology Physician
  • Murrieta, CA
  • NPI 1770559981

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Coachella Valley Anesthesia a Professional Corporation

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1013662048

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Darin Rentz DO PC

  • Anesthesiology Physician
  • Redlands, CA
  • NPI 1689321747

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Innovative Anesthesia Consultants PC

  • Anesthesiology Physician
  • La Mesa, CA
  • NPI 1154815264
  Medicare reassignment NPD
• Temecula Ca Endoscopy ASC LP

  • Anesthesiology Physician
  • Murrieta, CA
  • NPI 1285863696
  Medicare reassignment NPD
• Temecula Ca United Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Temecula, CA
  • NPI 1275951196
  Medicare reassignment NPD
• San Gabriel Anesthesia Associates, PC

  • Certified Registered Nurse Anesthetist
  • Santa Ana, CA
  • NPI 1538424908
  Medicare reassignment
• Temecula Ca Endoscopy ASC LP

  • Ambulatory Surgical Clinic/Center
  • Murrieta, CA
  • NPI 1477527398
  NPD
• Temecula Ca United Surgery Center LP

  • Anesthesiology Physician
  • Temecula, CA
  • NPI 1013376482
  NPD
• United Medical Doctors

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1194554675
  NPD

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1023682127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVY MEDICAL READINESS & TRAINING COMMAND",
            "address_2": "1145 STURGIS ROAD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922788275",
            "telephone_number": "760-830-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "NEAL",
        "middle_name": "CHRISTOPHER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-09-12",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MD",
            "license": "RN208944",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "RN208944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neal.petersen.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "DOD Email",
            "address_1": "34800 Bob Wilson Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921341098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neal.petersen.mil@health.mil",
            "affiliation": "N",
            "endpointDescription": "DOD Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1145 Sturgis Road",
            "city": "Twentynine Palms",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kate Petersen
• Kathryn Petersen, MA
• Kaylee Petersen, ARNP
• Michelle Ann Petersen
• Mihaela E Petersen, M.D.
• Nicole Michelle Petersen
• Sabina Petersen
• Sandra Rose Petersen, M.D.
• Sara R Petersen
• Zanette Petersen, RN

• Certified Registered Nurse Anesthetist in San Diego, CA
• Providers in San Diego, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.