Peterson Pierre, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A66363 Issued in CA

Practice address

77 E. Rolling Oaks Drive, Suite 207
Thousand Oaks, CA 91361

Phone

(805) 496-9190

Fax

(805) 496-9185

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

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

Dermatology

Education

Stanford University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians

Artius Dermatology Associates PCGroup PAC ID 6305126780, 17 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Artius Dermatology Associates, P.C.

  • Dermatology Physician
  • Hanford, CA
  • NPI 1245782291
  Medicare reassignment Care Compare group NPD
• Golden State Dermatology Associates, Inc.

  • Dermatology Physician
  • Walnut Creek, CA
  • NPI 1700860871
  Medicare reassignment Care Compare group NPD
• Pierre Medical Corporation

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1124216684

  Specialist

  Medicare reassignment NPD
• Golden State Dermatology Associates, Inc.

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
  • NPI 1235738576
  NPD
• Pierre Medical Corp

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1154574242
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1073663886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E. ROLLING OAKS DRIVE, SUITE 207",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-496-9190",
            "fax_number": "805-496-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E. ROLLING OAKS DRIVE, SUITE 207",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-496-9190",
            "fax_number": "805-496-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "PETERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A66363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Piala
• Scott D. Picker, M.D.
• Pierre Durand MD Inc.
• Pierre Medical Corp
• Pierre Medical Corporation
• Esteban Pimentel Jr.
• Anna Rose Pinkerman
• Robert Pinkston, RPT
• Melissa Pinlac, BA, QASP-S
• Joseph J Pinzone, M.D.

• Dermatology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.