Carl Curtis Peck, M.D.

Primary specialty

Clinical Pharmacology PhysicianTaxonomy code 208U00000X

License

G19713 Issued in CA

Practice address

5955 Balm Ridge Way
San Luis Obispo, CA 93401-8024

Phone

(805) 541-2581

Fax

(805) 547-1226

NPI assigned

Apr 1, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1073755302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 BALM RIDGE WAY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018024",
            "telephone_number": "805-541-2581",
            "fax_number": "805-547-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 BALM RIDGE WAY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018024",
            "telephone_number": "805-541-2581",
            "fax_number": "805-547-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "CARL",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "CA",
            "license": "G19713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peakmind Mental Health & Performance Wellness, Professional Nursing Corporation
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• Madeleine Pechner
• Jac W Pedersen II, D.D.S.
• Sarah Pedersen, MA, RBT, BCBA
• Pediatric Physical Therapy & Services, Inc.
• Jacob Pedler
• Christopher R Peinado, MD

• Clinical Pharmacology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Clinical Pharmacology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.