Drew Alan Peterson, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G65990 Issued in CA

Practice address

7485 Mission Valley Rd
Suite 104 a
San Diego, CA 92108-4422

Phone

(619) 291-8930

Fax

(619) 291-8491

NPI assigned

Mar 30, 2006

Sex

Male

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

Specialty

Hand SurgeryAlso: Orthopedic Surgery

Education

Wayne State University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ortho 1 Medical GroupGroup PAC ID 0042619876, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: pdrew34122@scrippshlth.medalliesdirect.net

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.

• Ortho 1 Medical Group

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1609471929

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• California Orthopaedic Institute Medical Associates Inc

  • Orthopaedic Surgery Physician
  • Del Mar, CA
  • NPI 1295997047
  NPD Authorized official
• California Orthopaedic Institute Medical Associates, Inc

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1245290899
  Medicare reassignment
• California Orthopaedic Institute Medical Associates, Inc.

  • Physical Therapist
  • San Diego, CA
  • NPI 1659317204

  Orthopaedic Surgery

  NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1063473023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 MISSION VALLEY RD",
            "address_2": "SUITE 104 A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084422",
            "telephone_number": "619-291-8930",
            "fax_number": "619-291-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7485 MISSION VALLEY RD",
            "address_2": "SUITE 104 A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084422",
            "telephone_number": "619-291-8930",
            "fax_number": "619-291-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DREW",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G65990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Peterson, DMD
• Christopher Martin Peterson, LMFT
• Danika Nicole Peterson
• Devan Jay Peterson
• Douglas Allen Peterson, PH.D.
• Erin Peterson
• Gayle Marie Peterson, NP
• Grace Elaine Barbara Peterson, PHD
• Jacqueline Nicole Peterson
• Jeanne Peterson, PH.D.

• Orthopaedic Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.

Verify at the official NPI Registry.